No. 42446 (5-year Review): Rule R414-308. Application, Eligibility Determinations and Improper Medical Assistance

DAR File No.: 42446
Filed: 01/08/2018 10:30:34 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:

Section 26-18-3 requires the Department of Health (Department) to implement the Medicaid program through administrative rules. In addition, 42 CFR 435.952 sets forth agency procedures for uses and requests of additional information when making eligibility determinations.

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 implements procedures for application; establishes protocol for verifications and exchanges; specifies procedures for eligibility decisions and periods of review; sets forth requirements for change reporting; spells out protocols for case closures and redeterminations; and outlines member and agency responsibilities in cases of improper medical coverage.

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 [e-mail]

Effective:

01/08/2018

Authorized by:

Joseph Miner, Executive Director

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