No. 29441: R414-4A. Outpatient Hospital Services: Payment of Triage Fee

DAR File No.: 29441
Filed: 01/26/2007, 04:35
Received by: NL

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 26-1-5 grants the Department of Health the power to adopt, amend, or rescind rules that shall have the force and effect of law and Section 26-18-3 requires the Department to administer the Medicaid program. The payment of a triage fee for outpatient hospital services is a necessary part of the administration of the Medicaid program.

Summary of written comments received during and since the last five-year review of the rule from interested persons supporting or opposing the rule:

No written or oral comments were received 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:

This rule is necessary because it allows payment for an emergency room assessment to determine whether client treatment is routine, urgent, or emergent. The rule, therefore, promotes cost effective service that meets the client's needs and provides for efficient administration of the Medicaid program. Therefore, this rule should be continued.

The full text of this rule may be inspected, during regular business hours, at the Division 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]

Authorized by:

David N. Sundwall, Executive Director