Special Notice

This notice was published in the December 1, 2014, issue (Vol. 2014, No. 23) of the Utah State Bulletin.


Special Notice: Notice of Managed Care Quality Strategy

Pursuant to federal law, the Bureau of Managed Health Care in the Division of Medicaid and Health Financing will publish a revised Managed Care Quality Strategy (Quality Strategy). The Quality Strategy complies with all requirements as specified in 42 CFR 438.202 and 42 CFR 438.204 and is written for the managed care plans contracted with the Department of Health who provide services to Medicaid members. The Quality Strategy discusses how the Department will accomplish the following goals:

  1. Promote effective coordination of care between Accountable Care Organizations (ACO) and Prepaid Mental Health Plans (PMHP).
  2. Promote preventive care for women and children.
  3. Improve the access to and quality of services provided to Medicaid members in ACOs, PMHPs, Dental Plans, Healthy Outcomes, Medical Excellence Program, and Children’s Health Insurance Program.
  4. Control quality care costs through innovative strategies with ACOs, PMHPs and other stakeholders.

The draft of the Quality Strategy is available for review on the Utah Medicaid website at https://medicaid.gov.

Individuals who wish to comment on the draft during the public comment period may submit written comments to Heidi Oliver at holiver@utah.gov by 12/14/2014.


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/2014/b20141201.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 this notice, please contact Craig Devashrayee, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at cdevashrayee@utah.gov.