File No. 36910

This notice was published in the November 1, 2012, issue (Vol. 2012, No. 21) of the Utah State Bulletin.

Health, Health Care Financing, Coverage and Reimbursement Policy

Rule R414-2B

Inpatient Hospital Intensive Physical Rehabilitation Services

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 36910
Filed: 10/02/2012 11:53:41 AM


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 provide intensive physical rehabilitation services for Medicaid recipients in an inpatient hospital setting. Subsection 1905(a) of the Social Security Act further requires the Department to provide inpatient hospital services to eligible Medicaid recipients.

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 should be continued because it sets forth program access requirements and prior authorization procedures for Medicaid clients who receive intensive physical rehabilitation services in an inpatient hospital. This rule should also be continued because it establishes protocols that allow Medicaid recipients to receive individualized treatment outside of a hospital setting.

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

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

Authorized by:

David Patton, Executive Director



Additional Information

The Portable Document Format (PDF) version of the Bulletin is the official version. The PDF version of this issue is available at 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