File No. 34994
This rule was published in the July 15, 2011, issue (Vol. 2011, No. 14) of the Utah State Bulletin.
Health, Health Care Financing, Coverage and Reimbursement Policy
Home Health Services
Notice of Proposed Rule
DAR File No.: 34994
Filed: 06/30/2011 09:05:34 AM
Purpose of the rule or reason for the change:
The purpose of this change is to incorporate by reference the definitions from the home health agency provider manual to 07/01/2011.
Summary of the rule or change:
This amendment incorporates by reference the definitions from the home health agency provider manual to 07/01/2011.
State statutory or constitutional authorization for this rule:
- Section 26-18-3
- Section 26-1-5
This rule or change incorporates by reference the following material:
- Updates Home Health Agency Provider Manual, published by Division of Medicaid and Health Financing, 07/01/2011
Anticipated cost or savings to:
the state budget:
There is no impact to the state budget because this change only updates the incorporation of definitions in the home health agency provider manual.
There is no impact to local governments because they do not fund or provide home health services for Medicaid clients.
There is no impact to small businesses because this change only updates the incorporation of definitions in the home health agency provider manual.
persons other than small businesses, businesses, or local governmental entities:
There is no impact to Medicaid clients and to Medicaid providers because this change only updates the incorporation of definitions in the home health agency provider manual.
Compliance costs for affected persons:
There are no compliance costs to a single Medicaid client or to a Medicaid provider because this change only updates the incorporation of definitions in the home health agency provider manual.
Comments by the department head on the fiscal impact the rule may have on businesses:
This update assures that providers and recipients know what current requirements are applicable. Clarity should have a positive fiscal impact.
W. David Patton, PhD, Executive Director
The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:Health
Health Care Financing, Coverage and Reimbursement Policy
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@example.com
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:
This rule may become effective on:
David Patton, Executive Director
R414. Health, Health Care Financing, Coverage and Reimbursement Policy.
R414-14. Home Health Services.
R414-14-1. Introduction and Authority.
(1) Home health services are part-time intermittent health care services that are based on medical necessity and provided to eligible persons in their places of residence when the home is the most appropriate and cost effective setting that is consistent with the client's medical need. The goals of home health care are to minimize the effects of disability or pain; promote, maintain, or protect health; and prevent premature or inappropriate institutionalization.
.] This rule is authorized under Section 26-18-3
and governs the services allowed under 42 CFR 440.70 and 42 CFR,
Part 484. 42 U.S.C. Secs. 1395u, 1395x, and 1395y also authorize
home health services.
The following definition applies to home
health services. In addition, the Department incorporates by
reference the definitions in the Home Health Agency Provider
Manual, effective [
April] 1, 2011.
(1) "Plan of Care" means a written plan developed cooperatively by home health agency staff and the attending physician. The plan is designed to meet specific needs of an individual, is based on orders written by the attending physician, and is approved and periodically reviewed and updated by the attending physician.
Date of Enactment or Last Substantive Amendment: [
May 25,] 2011
Notice of Continuation: September 23, 2009
Authorizing, and Implemented or Interpreted Law: 26-1-5; 26-18-3
The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at https://rules.utah.gov/publicat/bull-pdf/2011/b20110715.pdf. The HTML edition of the Bulletin is a convenience copy. Any discrepancy between the PDF version and HTML version is resolved in favor of the PDF version.
Text to be deleted is struck through and surrounded by brackets (e.g., [
example]). Text to be added is underlined (e.g., ). 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 firstname.lastname@example.org.