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 15-0006-UT Reimbursement for Home Health Services;

SPA 15-0008-UT Reimbursement for Optometry Services;

SPA 15-0009-UT Reimbursement for Speech Pathology Services;

SPA 15-0010-UT Reimbursement for Audiology Services;

SPA 15-0011-UT Reimbursement for Chiropractic Services;

SPA 15-0012-UT Reimbursement for Eyeglasses Services;

SPA 15-0013-UT Reimbursement for Clinic Services;

SPA 15-0014-UT Reimbursement for Physical Therapy and Occupational Therapy;

SPA 15-0015-UT Reimbursement for Rehabilitative Mental Health Services;

SPA 15-0016-UT Reimbursement for Licensed Practitioner Services; and

SPA 15-0017-UT Reimbursement for Transportation Services.

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 07/01/2015.

DMHF anticipates these changes to be budget neutral with exception of SPA 15-0017-UT Reimbursement for Transportation Services. Emergency ground ambulance transportation rates are anticipated to increase to levels noted in Section R426-8-2 of the Utah Administrative Code. This will result in an annual increase of approximately $10,719,500.

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, PO 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.