Health, Health Care Financing, Coverage and Reimbursement Policy

Section R414-14-2

Definitions

Notice of Proposed Rule

(Amendment)

DAR File No.: 35227
Filed: 09/09/2011 11:30:51 AM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The purpose of this change is to remove language that incorporates by reference definitions from the Home Health Agencies Provider Manual, and to incorporate them by reference in Section R414-1-5 instead. (DAR NOTE: The proposed amendment for Section R414-1-5 is under DAR No. 35225 in this issue, October 1, 2011, of the Bulletin.)

Summary of the rule or change:

This change removes language that incorporates by reference definitions from the Home Health Agencies Provider Manual, and incorporates them by reference in Section R414-1-5 instead.

State statutory or constitutional authorization for this rule:

• Section 26-18-3

This rule or change incorporates by reference the following material:

• Removes Home Health Agency Provider Manual, Definitions, published by Utah Department of Health, 07/01/2011

Anticipated cost or savings to:

the state budget:

There is no impact to the state budget because this amendment simply removes language from the text and places it in another administrative rule.

local governments:

There is no impact to local governments because they do not fund or provide home health services to Medicaid recipients.

small businesses:

There is no impact to small businesses because this amendment simply removes language from the text and places it in another administrative rule.

persons other than small businesses, businesses, or local governmental entities:

There is no impact to Medicaid recipients and to Medicaid providers because this amendment simply removes language from the text and places it in another administrative rule.

Compliance costs for affected persons:

There are no compliance costs to a single Medicaid recipient or to a Medicaid provider because this amendment simply removes language from the text and places it in another administrative rule.

Comments by the department head on the fiscal impact the rule may have on businesses:

Moving the incorporation references from this rule into Section R414-1-5 will make compliance simpler for providers and have no fiscal impact.

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
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 cdevashrayee@utah.gov

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:

10/31/2011

This rule may become effective on:

11/07/2011

Authorized by:

David Patton, Executive Director

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

R414-14. Home Health Services.

R414-14-2. Definitions.

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 July 1, 2011]adopts the definitions in the Home Health Agencies Provider Manual and incorporates them by reference in Section R414-1-5.

(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.

 

KEY: Medicaid

Date of Enactment or Last Substantive Amendment: [August 22, ]2011

Notice of Continuation: September 23, 2009

Authorizing, and Implemented or Interpreted Law: 26-1-5; 26-18-3