SPECIAL NOTICE
This filing was published in the 10/15/2008, issue, Vol. 2008, No. 20, of the Utah State Bulletin.
Health, Health Care Financing, Coverage and Reimbursement Policy
Medicaid Crossover Reimbursement Limits
The Division of Health Care Financing is submitting changes to the Medicaid State Plan, Attachment 4.19-B, 08-015-UT -- Crossover Reimbursement Limits. This change is as a result of legislative budget reduction mandates.
Reimbursement for crossover claims will be limited to the Medicaid fee schedule for the following types of services: nursing homes, ambulatory surgical centers, kidney dialysis, pharmacy, medical transportation, specialized nursing, and QMB Only Services. These services are in addition to services already reimbursed under this methodology.
There is estimated to be an annual fiscal impact reduction of approximately $7,020,000.
This proposed change, if approved, becomes effective on November 1, 2008.
The proposed changes are pending Centers for Medicare and Medicaid Services approval. A copy of the changes may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of the changes are also available at local county health department offices.
ADDITIONAL INFORMATION
For questions regarding this notice, please contact Craig Devashrayee at the above address, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at cdevashrayee@utah.gov For questions about the rulemaking process, please contact the Division of Administrative Rules (801-538-3764).
Last modified: 10/15/2008 0:29 AM