Special Notice

This notice was published in the September 15, 2019, issue (Vol. 2019, No. 18) of the Utah State Bulletin.

Special Notice: Medical Supplies and DME Rebasing

The Division of Medicaid and Health Financing (DMHF) will submit changes to the Medicaid State Plan to state that codes found on the Medicare DME fee schedule will be priced at a percentage of the Medicare price not to exceed 100 percent as of the effective date found on the introduction page of State Plan Attachment 4.19-B. Further, verbiage will be added noting that, in order to ensure access to care, some durable medical equipment (DME) is paid based upon contracts awarded following a competitive bid procurement process. All rates are published at http://health.utah.gov/medicaid/stplan/lookup/CoverageLookup.php.

This State Plan Amendment (SPA 19-0015-UT) is not anticipated to impact total annual expenditures for the Medicaid program.

This amendment is pending approval from the Centers for Medicare & Medicaid Services (CMS), and the proposed effective date is October 1, 2019.

A copy of these changes may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, PO Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of these changes are also available at local county health department offices.

Additional Information

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/2019/b20190915.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 this notice, please contact Craig Devashrayee, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at cdevashrayee@utah.gov