DAR File No. 41566

Health, Health Care Financing, Coverage and Reimbursement Policy

Section R414-1-30

Face-to-Face Requirements for Home Health Services

Notice of Proposed Rule

(Amendment)

DAR File No.: 41566
Filed: 05/01/2017 06:58:03 PM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The purpose of this change is to implement by rule face-to-face requirements for home health services.

Summary of the rule or change:

This amendment implements by rule face-to-face requirements for home health services.

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 no impact to the state budget because this change only implements by rule ongoing policy for face-to-face encounters under the Home Health Services program.

local governments:

There is no impact to local governments because they do not fund home health services under the Medicaid program.

small businesses:

There is no impact to small businesses because this change only implements by rule ongoing policy for face-to-face encounters under the Home Health Services program.

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

There is no impact to Medicaid providers and to Medicaid members because this change only implements by rule ongoing policy for face-to-face encounters under the Home Health Services program.

Compliance costs for affected persons:

There is no impact to a single Medicaid provider or to a Medicaid member because this change only implements by rule ongoing policy for face-to-face encounters under the Home Health Services program.

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

There is no fiscal impact on business because the amendment does not change current Medicaid policy or practice.

Joseph K. Miner, MD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Office 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:

06/14/2017

This rule may become effective on:

07/01/2017

Authorized by:

Joseph Miner, Executive Director

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

R414-1. Utah Medicaid Program.

R414-1-30. Face-to-Face Requirements for Home Health Services.

(1) Orders for home health services and certain durable medical equipment (DME) must be in accordance with 42 CFR 440.70.

(2) DME that requires face-to-face shall be the same as DME items required by Medicare.

(3) No home health agency or DME supplier may report services for reimbursement until they meet the face-to-face requirement.

 

KEY: Medicaid

Date of Enactment or Last Substantive Amendment: [February 15], 2017

Notice of Continuation: February 15, 2017

Authorizing, and Implemented or Interpreted Law: 26-1-5; 26-18-3; 26-34-2