File No. 35336
This notice was published in the November 1, 2011, issue (Vol. 2011, No. 21) of the Utah State Bulletin.
Health, Health Care Financing, Coverage and Reimbursement Policy
Rule R414-320
Medicaid Health Insurance Flexibility and Accountability Demonstration Waiver
Five-Year Notice of Review and Statement of Continuation
DAR File No.: 35336
Filed: 10/13/2011 12:00:58 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 grants the Department the authority to adopt administrative rules that provide services to Medicaid recipients and reimbursement for Medicaid providers. Section 1115 of the Social Security Act also allows the Department to implement demonstration waivers to verify whether they provide solutions on how to provide cost effective and beneficial services.
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 outlines employer-sponsored coverage and eligibility requirements for enrollees of Utah's Premium Partnership for Health Insurance (UPP) program. It is also necessary because it outlines application requirements for enrollees, notice requirements for the Department, and reimbursement policy for employers. Therefore, this rule should be continued.
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]
Authorized by:
David Patton, Executive Director
Effective:
10/13/2011
Additional Information
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/b20111101.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.
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].