DAR File No. 41803
This notice was published in the July 1, 2017, issue (Vol. 2017, No. 13) of the Utah State Bulletin.
Health, Health Care Financing, Coverage and Reimbursement Policy
Rule R414-60A
Drug Utilization Review Board
Five-Year Notice of Review and Statement of Continuation
DAR File No.: 41803
Filed: 06/13/2017 09:19:21 AM
NOTICE OF REVIEW AND STATEMENT OF CONTINUATION
Concise explanation of the particular statutory provisions under which the rule is enacted and how these provisions authorize or require the rule:
This rule is authorized by Section 26-18-102, which sets forth membership requirements for the Drug Utilization Review (DUR) Board. In addition, 42 CFR 456.716 requires the Department of Health to establish a DUR Board that includes health care professionals with knowledge and expertise in prescribing, dispensing, or evaluating drugs.
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 received a comment from the American Academy of Physician Assistants, which recommended a proposed change to include physician assistants among those who sit on the DUR Board.
Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:
In response to the comment above, DUR Board composition has minimum and maximum thresholds to include physician and pharmacist members based on federal law. Although the Department encourages participation by all provider groups, it cannot include every provider group and maintain statutory thresholds. The Department will continue this rule because it implements DUR Board composition and membership requirements, and spells out board member responsibilities to provide medically necessary and cost effective services for Medicaid recipients.
The full text of this rule may be inspected, during regular business hours, at the Office of Administrative Rules, or at:
HealthHealth 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
Effective:
06/13/2017
Authorized by:
Joseph Miner, Executive Director
Additional Information
More information about a Five-Year Notice of Review and Statement of Continuation 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/2017/b20170701.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 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 cdevashrayee@utah.gov. For questions about the rulemaking process, please contact the Office of Administrative Rules.