DAR File No. 39558
This rule was published in the August 15, 2015, issue (Vol. 2015, No. 16) of the Utah State Bulletin.
Health, Health Care Financing, Coverage and Reimbursement Policy
Home and Community-Based Services Waiver for Medically Complex Children
Notice of Proposed Rule
DAR File No.: 39558
Filed: 07/31/2015 09:39:11 AM
Purpose of the rule or reason for the change:
This amendment complies with H.B. 199 passed during the 2015 General Session, which requires the Department to create a new Home and Community-Based Services (HCBS) waiver for children with disabilities and complex medical conditions for a three-year pilot program.
Summary of the rule or change:
This amendment implements the HCBS Waiver for Medically Complex Children, which serves children under 19 years of age who meet disability criteria described in Section R414-303-3.
State statutory or constitutional authorization for this rule:
- Section 26-18-3
- Section 26-1-5
Anticipated cost or savings to:
the state budget:
There is an annual cost to the General Fund of about $1,072,000 with matching federal funds of about $2,539,867.
There is no impact to local governments because they do not fund or provide waiver services to Medicaid recipients.
Small businesses may see a portion of the total revenue generated by this new waiver that could reach about $3,611,867.
persons other than small businesses, businesses, or local governmental entities:
Medicaid providers may see a portion of the total revenue generated by this new waiver that could reach about $3,611,867. Eligible Medicaid recipients will also see out-of-pocket savings.
Compliance costs for affected persons:
There are no compliance costs to a single Medicaid provider who will see only potential revenue. Likewise, an eligible Medicaid recipient will see only out-of-pocket savings.
Comments by the department head on the fiscal impact the rule may have on businesses:
This proposed rule will fiscally impact business in that up to $3,611,867 in funds will be available to pay Medicaid providers for medical care services provided to children eligible under the waiver.
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 email@example.com
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:
This rule may become effective on:
David Patton, Executive Director
R414. Health, Health Care Financing, Coverage and Reimbursement Policy.
R414-307. Eligibility for Home and Community-Based Services Waivers.
KEY: eligibility, waivers, special income group
Date of Enactment or Last Substantive Amendment: [
Notice of Continuation: April 17, 2012
Authorizing, and Implemented or Interpreted Law: 26-1-5; 26-18-3
More information about a Notice of Proposed Rule is available online.
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/2015/b20150815.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.
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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 firstname.lastname@example.org. For questions about the rulemaking process, please contact the Division of Administrative Rules.