Health, Health Care Financing, Coverage and Reimbursement Policy

Rule R414-21

Physical and Occupational Therapy

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 35908
Filed: 03/02/2012 05:08:16 PM

NOTICE OF REVIEW AND STATEMENT OF CONTINUATION

Concise explanation of the particular statutory provisions under which the rule is enacted and how these provisions authorize or require the rule:

Section 26-18-3 requires the Department to implement Medicaid policy through administrative rules, which allow the Department to administer the Medicaid program. In addition, Section 26-1-5 authorizes the Department to adopt rules that provide services and eligibility requirements for Medicaid recipients. Further, 42 CFR 440.110 authorizes qualified physical and occupational therapists to provide services for Medicaid recipients.

Summary of written comments received during and since the last five-year review of the rule from interested persons supporting or opposing the rule:

The Department did not receive any written or oral comments regarding this rule.

Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:

This rule is necessary because it provides physical and occupational therapy for Medicaid recipients who need these services. It is also important because it specifies eligibility requirements and service coverage for Medicaid recipients, and specifies how physical and occupational therapists are reimbursed for their services.

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Direct questions regarding this rule to:

• Craig Devashrayee at the above address, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at [email protected]

Authorized by:

David Patton, Executive Director

Effective:

03/02/2012