Non-Routine Services, Quality Improvement (QI) Incentive, and Other Clarifications  

  • The Division of Medicaid and Health Financing (DMHF) will amend Attachment 4.19-D of the Medicaid State Plan to update and clarify service coverage and specific incentives for provider reimbursement. For this purpose, DMHF will add hyperbaric oxygen therapy as a non-routine service for nursing home patients and remove certain education requirements for the QI program. It will also make other technical changes and clarifications.

    DMHF does not expect an impact to total annual expenditures due to these changes.

    This State Plan Amendment (SPA 16-0007-UT) is pending approval from the Centers for Medicare and Medicaid Services, and if approved, becomes effective July 1, 2016.

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