Annual Rebasing Update  

  • The Division of Medicaid and Health Financing (DMHF) is updating its Medicaid State Plan through the following State Plan Amendments (SPAs):

    SPA 17-0005-UT Reimbursement for Home Health Services;

    SPA 17-0006-UT Reimbursement for Physician and Anesthesia Services;

    SPA 17-0007-UT Reimbursement for Optometry Services;

    SPA 17-0008-UT Reimbursement for Speech Pathology Services;

    SPA 17-0009-UT Reimbursement for Audiology Services;

    SPA 17-0010-UT Reimbursement for Chiropractic Services;

    SPA 17-0011-UT Reimbursement for Eyeglasses Services;

    SPA 17-0012-UT Reimbursement for Clinic Services;

    SPA 17-0013-UT Reimbursement for Physical Therapy and Occupational Therapy;

    SPA 17-0014-UT Reimbursement for Rehabilitative Mental Health Services; and

    SPA 17-0016-UT Reimbursement for Dental Services and Dentures.

    Based on the existing State Plan requirement to annually rebase pricing of physician codes, these amendments update the State Plan by changing the effective date of the pricing to July 1, 2017.

    DMHF anticipates these changes to be budget neutral.

    The proposed changes are pending Centers for Medicare and Medicaid Services approval.

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