DAR File No. 39087

Health, Health Care Financing, Coverage and Reimbursement Policy

Rule R414-6

Reduction in Certain Targeted Case Management Services

Notice of Proposed Rule

(Repeal)

DAR File No.: 39087
Filed: 01/22/2015 09:10:39 AM

RULE ANALYSIS

Purpose of the rule or reason for the change:

This rule is unnecessary because it does not implement Targeted Case Management (TCM) services, but rather affirms the elimination of certain TCM services discontinued by Medicaid several years ago.

Summary of the rule or change:

This rule is unnecessary because it does not implement Targeted Case Management (TCM) services. This rule is repealed in its entirety.

State statutory or constitutional authorization for this rule:

• Section 26-1-5

Anticipated cost or savings to:

the state budget:

There is no impact to the state budget because the current rule only affirms the elimination of certain TCM services, and does not affect current and future appropriations for other TCM programs.

local governments:

There is no impact to local governments because they do not fund or provide Medicaid services to Medicaid recipients.

small businesses:

There is no impact to small businesses because the current rule only affirms the elimination of certain TCM services, and does not affect current and future appropriations for other TCM programs.

persons other than small businesses, businesses, or local governmental entities:

There is no impact to Medicaid providers and to Medicaid recipients because the current rule only affirms the elimination of certain TCM services, and does not affect current and future appropriations for other TCM programs.

Compliance costs for affected persons:

There is no impact to a single Medicaid provider or to a Medicaid recipient because the current rule only affirms the elimination of certain TCM services, and does not affect current and future appropriations for other TCM programs.

Comments by the department head on the fiscal impact the rule may have on businesses:

This rule has no effect on business because the services addressed in the rule have not been provided for the past several years.

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 cdevashrayee@utah.gov

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:

03/17/2015

This rule may become effective on:

03/24/2015

Authorized by:

David Patton, Executive Director

R414. Health, Health Care Financing, Coverage and Reimbursement Policy.

[R414-6. Reduction in Certain Targeted Case Management Services.

R414-6-1. Introduction and Authority.

This rule describes the Utah Medicaid Program's reduction in certain targeted case management services. Utilization of cost-containment methods is authorized by Section 26-18-2.3.

 

R414-6-2. Definition.

"Targeted Case Management Services" are a set of planning, coordinating and monitoring activities that assist Medicaid recipients in the target group to access needed housing, employment, medical, nutritional, social, education, and other services to promote independent living and functioning in the community.

 

R414-6-3. Targeted Case Management Services for Recipients with HIV/AIDS.

Upon the effective date of this rule, targeted case management services for recipients with HIV/AIDS are not available.

 

R414-6-4. Targeted Case Management Services for Recipients Exposed to Tuberculosis.

Upon the effective date of this rule, targeted case management services for recipients exposed to tuberculosis are not available.

 

KEY: Medicaid, case management

Date of Enactment or Last Substantive Amendment: July 22, 2008

Notice of Continuation: March 8, 2013

Authorizing, and Implemented or Interpreted Law: 26-18]