The Utah Administrative Code is the body of all effective administrative rules as compiled and organized by the Division of Administrative Rules (see Subsection 63G-3-102(5); see also Sections 63G-3-701 and 702).

NOTE: For a list of rules that have been made effective since May 1, 2013, please see the codification segue page.

Table of Contents for Title R414

Title R414. Health, Health Care Financing, Coverage and Reimbursement Policy.

As in effect on May 1, 2013

Download all rules in the title in a ZIP file.

1. R414-1. Utah Medicaid Program. (Download the RTF file)
2. R414-1A. Medicaid Policy for Experimental, Investigational or Unproven Medical Practices. (Download the RTF file)
3. R414-1B. Prohibition of Payment for Certain Abortion Services. (Download the RTF file)
4. R414-2A. Inpatient Hospital Services. (Download the RTF file)
5. R414-2B. Inpatient Hospital Intensive Physical Rehabilitation Services. (Download the RTF file)
6. R414-3A. Outpatient Hospital Services. (Download the RTF file)
7. R414-4x. Policy Statement on Denial of Payment to Medicaid Provider When Client Fails to Keep Scheduled Appointment. (Download the RTF file)
8. R414-6. Reduction in Certain Targeted Case Management Services. (Download the RTF file)
9. R414-7A. Medicaid Certification of New Nursing Facilities. (Download the RTF file)
10. R414-7B. Nurse Aide Training and Competency Evaluation Program. (Download the RTF file)
11. R414-7C. Alternative Remedies for Nursing Facilities. (Download the RTF file)
12. R414-8. Electronic Personal Medical Records for the Medicaid Program. (Download the RTF file)
13. R414-9. Federally Qualified Health Centers. (Download the RTF file)
14. R414-10. Physician Services. (Download the RTF file)
15. R414-10A. Transplant Services Standards. (Download the RTF file)
16. R414-11. Podiatry Services. (Download the RTF file)
17. R414-13. Psychology Services. (Download the RTF file)
18. R414-14. Home Health Services. (Download the RTF file)
19. R414-14A. Hospice Care. (Download the RTF file)
20. R414-15. Residents Personal Needs Fund. (Download the RTF file)
21. R414-19A. Coverage for Dialysis Services by a Free-Standing State Licensed Dialysis Facility. (Download the RTF file)
22. R414-21. Physical and Occupational Therapy. (Download the RTF file)
23. R414-22. Administrative Sanction Procedures and Regulations. (Download the RTF file)
24. R414-27. Medicaid Certification of Nursing Care Facilities. (Download the RTF file)
25. R414-29. Client Review/Education and Restriction Policy. (Download the RTF file)
26. R414-31. Inpatient Psychiatric Services for Individuals Under Age 21. (Download the RTF file)
27. R414-32. Hospital Record-keeping Policy. (Download the RTF file)
28. R414-33B. Substance Abuse Targeted Case Management. (Download the RTF file)
29. R414-33D. Targeted Case Management by Community Mental Health Centers for Individuals with Serious Mental Illness. (Download the RTF file)
30. R414-34. Substance Abuse Services. (Download the RTF file)
31. R414-35. Mental Health Services for Children in State Custody. (Download the RTF file)
32. R414-36. Services by Community Mental Health Centers. (Download the RTF file)
33. R414-38. Personal Care Service. (Download the RTF file)
34. R414-40. Private Duty Nursing Service. (Download the RTF file)
35. R414-42. Telehealth Home Health Services. (Download the RTF file)
36. R414-45. Personal Supervision by a Physician. (Download the RTF file)
37. R414-49. Dental Services. (Download the RTF file)
38. R414-50. Dental, Oral and Maxillofacial Surgeons. (Download the RTF file)
39. R414-51. Dental, Orthodontia. (Download the RTF file)
40. R414-52. Optometry Services. (Download the RTF file)
41. R414-53. Eyeglasses Services. (Download the RTF file)
42. R414-54. Speech-Language Pathology Services. (Download the RTF file)
43. R414-55. Medicaid Policy for Hospital Emergency Department Copayment Procedures. (Download the RTF file)
44. R414-58. Children's Organ Transplants. (Download the RTF file)
45. R414-59. Audiology-Hearing Services. (Download the RTF file)
46. R414-60. Medicaid Policy for Pharmacy Program. (Download the RTF file)
47. R414-60A. Drug Utilization Review Board. (Download the RTF file)
48. R414-60B. Preferred Drug List. (Download the RTF file)
49. R414-61. Home and Community-Based Services Waivers. (Download the RTF file)
50. R414-70. Medical Supplies, Durable Medical Equipment, and Prosthetic Devices. (Download the RTF file)
51. R414-90. Diabetes Self-Management Training. (Download the RTF file)
52. R414-99. Chiropractic Services. (Download the RTF file)
53. R414-100. Medicaid Primary Care Network Services. (Download the RTF file)
54. R414-140. Choice of Health Care Delivery Program. (Download the RTF file)
55. R414-200. Non-Traditional Medicaid Health Plan Services. (Download the RTF file)
56. R414-301. Medicaid General Provisions. (Download the RTF file)
57. R414-302. Eligibility Requirements. (Download the RTF file)
58. R414-303. Coverage Groups. (Download the RTF file)
59. R414-304. Income and Budgeting. (Download the RTF file)
60. R414-305. Resources. (Download the RTF file)
61. R414-306. Program Benefits and Date of Eligibility. (Download the RTF file)
62. R414-307. Eligibility for Home and Community-Based Services Waivers. (Download the RTF file)
63. R414-308. Application, Eligibility Determinations and Improper Medical Assistance. (Download the RTF file)
64. R414-309. Medicare Drug Benefit Low-Income Subsidy Determination. (Download the RTF file)
65. R414-310. Medicaid Primary Care Network Demonstration Waiver. (Download the RTF file)
66. R414-320. Medicaid Health Insurance Flexibility and Accountability Demonstration Waiver. (Download the RTF file)
67. R414-401. Nursing Care Facility Assessment. (Download the RTF file)
68. R414-501. Preadmission Authorization, Retroactive Authorization, and Continued Stay Review. (Download the RTF file)
69. R414-502. Nursing Facility Levels of Care. (Download the RTF file)
70. R414-503. Preadmission Screening and Resident Review. (Download the RTF file)
71. R414-504. Nursing Facility Payments. (Download the RTF file)
72. R414-506. Hospital Provider Assessments. (Download the RTF file)
73. R414-508. Requirements for Transfer of Bed Licenses. (Download the RTF file)
74. R414-509. Medicaid Autism Waiver Open Enrollment Process. (Download the RTF file)
75. R414-510. Intermediate Care Facility for Persons with Intellectual Disabilities Transition Program. (Download the RTF file)

Additional Information

Contact

For questions regarding the content or application of rules under Title R414, please contact the promulgating agency. A list of agencies with links to their homepages is available at http://www.utah.gov/government/agencylist.html or from http://www.rules.utah.gov/contact/agencycontacts.htm.