This rule was published in the October 15, 2017, issue (Vol. 2017, No. 20) of the Utah State Bulletin.
Health, Health Care Financing, Coverage and Reimbursement Policy
Long Term Acute Care
Notice of Proposed Rule
DAR File No.: 42184
Filed: 10/02/2017 05:30:55 PM
Purpose of the rule or reason for the change:
The purpose is to implement by rule the Medicaid policy for long term acute care (LTAC).
Summary of the rule or change:
This new rule sets forth LTAC policy through definitions, requirements for eligibility and program access, and provisions for service coverage, prior authorization, and continued stay review.
Statutory or constitutional authorization for this rule:
- Section 26-1-5
- Section 26-18-3
Anticipated cost or savings to:
the state budget:
There is no impact to the state budget because this change only implements by rule ongoing Medicaid policy for LTAC.
There is no budget impact to local governments because they do not fund or provide LTAC under the Medicaid program.
There is no impact to small businesses because this change only implements by rule ongoing Medicaid policy for LTAC.
persons other than small businesses, businesses, or local governmental entities:
There is no impact to Medicaid providers or to Medicaid members because this change only implements by rule ongoing Medicaid policy for LTAC.
Compliance costs for affected persons:
There are no compliance costs to a single Medicaid provider or to a Medicaid member because this change only implements by rule ongoing Medicaid policy for LTAC.
Comments by the department head on the fiscal impact the rule may have on businesses:
After conducting a thorough analysis, it was determined that this proposed rule will not result in a fiscal impact to businesses.
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 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:
Joseph Miner, Executive Director
R414. Health, Health Care Financing,
Coverage and Reimbursement Policy.
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/b20171015.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.