Amendment to 1115 Demonstration Waiver

The Utah Department of Health, Division of Medicaid and Health Financing (DMHF), will hold public hearings to discuss an amendment to Utah's 1115 Demonstration Waiver.

DMHF is requesting authority to amend the State's 1115 Demonstration Waiver to implement the provisions of Senate Bill 11- "Medicaid Dental Coverage Amendments", which passed during the 2019 General Session. The provisions of this amendment will include:

1. Authority to provide full state plan dental benefits to Medicaid eligible individuals, age 65 and older.

2. Authority to provide Medicaid funds for porcelain and porcelain-to-metal crowns for Medicaid eligible individuals age 65 and over, as well as for Targeted Adult Medicaid beneficiaries who are eligible to receive dental benefits under the State's 1115 Demonstration Waiver.

3. Providing benefits through a fee-for-service model, and by contracting with an entity that:

a. Has demonstrated experience working with individuals who are being treated for both a substance use disorder and a major oral health disease;

b. Operates a program, targeted at the individuals described in this amendment, that has demonstrated, through a peer-reviewed evaluation, the effectiveness of providing dental treatment to those individuals;

c. Is willing to pay for an amount equal to the program's non-federal share of the cost of providing dental services to the population described.

A copy of the DMHF waiver amendment will be available online as of May 6, 2019, at https://medicaid.utah.gov/waiver-application

Public Hearings:

DMHF will conduct two public hearings to discuss the waiver amendment. The dates, times, and locations are listed below:

Monday, May 13, 2019

4:00 p.m. to 6:00 p.m.

Multi-Agency State Office Building

195 N 1950 W, Salt Lake City, Utah

Room 1020

Thursday, May 16, 2019

2:00 p.m. to 4:00 p.m. (as part of the Medical Care Advisory Committee (MCAC) meeting)

Cannon Health Building

288 N 1460 W, Salt Lake City, Utah

Room 125

A conference line is available for those who would like to participate by phone: [phone], passcode 378804#.

Individuals requiring an accommodation to fully participate in either meeting may contact Jennifer Meyer-Smart at 801-538-6338 by 5:00 p.m. on Thursday, May 9, 2019.

Public Comment:

The public may comment on the proposed waiver amendment during the 30-day public comment period from May 6, 2019, through June 5, 2019. Comments may be submitted:

Online: https://medicaid.utah.gov/public-comments-0

Email: [e-mail]

Mail:

Utah Department of Health

Division of Medicaid and Health Financing

PO Box 143106

Salt Lake City, UT 84114-3106

Attn: Jennifer Meyer-Smart