DAR File No. 32639
This filing was published in the 05/15/2009, issue, Vol. 2009, No. 10, of the Utah State Bulletin.
Health, Health Care Financing, Coverage and Reimbursement Policy
R414-59-4
Client Eligibility Requirements
NOTICE OF PROPOSED RULE
DAR File No.: 32639
Filed: 04/30/2009, 05:40
Received by: NL
RULE ANALYSIS
Purpose of the rule or reason for the change:
The purpose of this change is to incorporate by reference the Audiology Provider Manual, effective July 1, 2009.
Summary of the rule or change:
This change incorporates by reference the Audiology Provider Manual, effective July 1, 2009.
State statutory or constitutional authorization for this rule:
Section 26-18-3
This rule or change incorporates by reference the following material:
Audiology Provider Manual, July 1, 2009
Anticipated cost or savings to:
the state budget:
There is no budget impact because the incorporation of ongoing Medicaid policy described in the Audiology Provider Manual does not create costs or savings to the Department or other state agencies.
local governments:
This change does not impact local governments because they do not fund or provide audiology services to Medicaid clients.
small businesses and persons other than businesses:
There is no budget impact because the incorporation of ongoing Medicaid policy described in the Audiology Provider Manual does not create costs or savings to other persons and small businesses.
Compliance costs for affected persons:
There are no compliance costs because the incorporation of ongoing Medicaid policy described in the Audiology Provider Manual does not create additional costs to a Medicaid client or a loss of revenue to a Medicaid provider.
Comments by the department head on the fiscal impact the rule may have on businesses:
This rule should not have a direct fiscal impact on business. Incorporation of this section of the Provider Manual by this rule assures that the Medicaid program is implemented through administrative rule. David N. Sundwall, MD, Executive Director
The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:
HealthHealth Care Financing, Coverage and Reimbursement Policy
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY UT 84116-3231
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]
Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:
06/15/2009
This rule may become effective on:
07/01/2009
Authorized by:
David N. Sundwall, Executive Director
RULE TEXT
R414. Health, Health Care Financing, Coverage and Reimbursement Policy.
R414-59. Audiology-Hearing Services.
R414-59-4. Client Eligibility Requirements.
(1) Audiology-hearing services are available only to clients who are pregnant women or who are individuals eligible under the Early and Periodic Screening, Diagnosis and Treatment Program.
(2) An
individual receiving audiology-hearing services may receive audiology services
as described in the Audiology Provider Manual, effective [April]July
1, 2009, which is incorporated by reference.
(3) An individual receiving audiology-hearing services must meet the criteria established in the Audiology Provider Manual and obtain prior approval if required.
KEY: Medicaid, audiology
Date of Enactment or Last Substantive
Amendment: [April 1], 2009
Notice of Continuation: November 22, 2005
Authorizing, and Implemented or Interpreted Law: 26-1-5; 26-18-3
ADDITIONAL INFORMATION
Text to be deleted is struck through and surrounded by brackets (e.g., [example]). Text to be added is underlined (e.g., example). Older browsers may not depict some or any of these attributes on the screen or when the document is printed.
For questions regarding the content or application of this rule, 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 [email protected]
For questions about the rulemaking process, please contact the Division of Administrative Rules (801-538-3764). Please Note: The Division of Administrative Rules is NOT able to answer questions about the content or application of these administrative rules.
Last modified: 05/13/2009 2:53 PM