No. 40181 (5-year Review): Rule R414-320. Medicaid Health Insurance Flexibility and Accountability Demonstration Waiver

DAR File No.: 40181
Filed: 02/01/2016 10:09:05 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 to implement the Medicaid program through administrative rules, and Section 26-1-5 grants the Department the authority to adopt, amend, or rescind these rules for the provision of Medicaid services. Additionally, Section 1115 of the Social Security Act allows the Department to implement demonstration waivers to verify cost effectiveness.

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 did not receive 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 defines coverage and eligibility for Utah's Premium Partnership for Health Insurance (UPP) program, and because it spells out application requirements, notice requirements, and reimbursement policy.

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]

Effective:

02/01/2016

Authorized by:

Joseph Miner, Executive Director

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