Health, Health Care Financing, Coverage and Reimbursement Policy

Section R414-59-4

Client Eligibility Requirements

Notice of Proposed Rule

(Amendment)

DAR File No.: 35229
Filed: 09/09/2011 01:01:13 PM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The purpose of this change is to remove language that incorporates the Audiology Services Provider Manual by reference, and to incorporate the manual 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 the Audiology Services Provider Manual by reference, and incorporates the manual 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 Audiology Services Provider Manual, 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 audiology-hearing 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 [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:

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.

R414-59. 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 Services Provider Manual[, effective July 1, 2011, which is incorporated by reference].

(3) An individual receiving audiology-hearing services must meet the criteria established in the Audiology Services Provider Manual and obtain prior approval if required.

 

KEY: Medicaid, audiology

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

Notice of Continuation: October 13, 2010

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