Nurse Practitioner Services

The Division of Medicaid and Health Financing (DMHF) will submit a change to the Medicaid State Plan through SPA 14-010-UT, Nurse Practitioner Services . The purpose of this amendment is to facilitate client access to health care throughout Utah and to clarify limitations on nurse practitioner services. This amendment, therefore, allows licensed nurse practitioners to directly bill Medicaid for payment of approved services, and specifies which practitioners may perform these services.

DMHF does not anticipate an impact on total annual expenditures because this amendment is anticipated to only facilitate access to care which would not necessarily increase expenditures.

The proposed effective date of this change is April 1, 2014, and is pending Centers for Medicare and Medicaid Services approval.

A copy of the change 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 the change are also available at local county health department offices.