DAR File No. 42442

Health, Health Care Financing, Coverage and Reimbursement Policy

Rule R414-303

Coverage Groups

Five-Year Notice of Review and Statement of Continuation

DAR File No.: 42442
Filed: 01/08/2018 10:08:26 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:

Subparts B, C, and D of 42 CFR 435 set forth requirements and options for mandatory and optional coverage of groups within the Medicaid program. In addition, Section 26-18-3 requires the Department of Health (Department) to implement coverage for these individuals by administrative rule.

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 has not received any written or oral comments regarding this rule.

Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:

The Department will continue this rule because it establishes eligibility and coverage requirements for all categorically and medically needy individuals, including groups covered under the Modified Adjustment Gross Income (MAGI)-based methodology, foster care, adoption, Refugee Medicaid, presumptive eligibility, and the Medicaid Cancer Program.

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 [email protected]

Effective:

01/08/2018

Authorized by:

Joseph Miner, Executive Director