Health, Health Care Financing, Coverage and Reimbursement Policy

Rule R414-1A

Medicaid Policy for Experimental, Investigational or Unproven Medical Practices

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 36128
Filed: 04/30/2012 04:24:53 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 allows the Department to adopt rules to carry out services and procedures that are proven to be medically effective.

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 implements the policy to cover only services and procedures that are proven to be effective. This rule, therefore, ensures that Medicaid recipients receive quality and cost effective services. 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:

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

Authorized by:

David Patton, Executive Director

Effective:

04/30/2012