No. 37559 (5-year Review): Rule R414-51. Dental, Orthodontia

DAR File No.: 37559
Filed: 04/30/2013 01:11:47 PM

NOTICE OF REVIEW AND STATEMENT OF CONTINUATION

Concise explanation of the particular statutory provisions under which the rule is enacted and how these provisions authorize or require the rule:

Section 26-18-3 requires the Department to implement by rule orthodontia services for Medicaid recipients. In addition, 42 CFR 441.56 requires the Department to provide orthodontia services to individuals who are eligible under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program.

Summary of written comments received during and since the last five-year review of the rule from interested persons supporting or opposing the rule:

The Department did not receive any written or oral comments regarding this rule.

Reasoned justification for continuation of the rule, including reasons why the agency disagrees with comments in opposition to the rule, if any:

The Department will continue this rule because it sets forth eligibility and access requirements for the Orthodontia Program, and specifies service coverage and reimbursement methodology.

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Health Care Financing, Coverage and Reimbursement Policy
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY, UT 84116-3231

Direct questions regarding this rule to:

• Craig Devashrayee at the above address, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at [e-mail]

Authorized by:

David Patton, Executive Director

Effective:

04/30/2013

---