Amendment to 1115 Demonstration Waiver

The Utah Department of Health, Division of Medicaid and Health Financing (DMHF), will hold a second public hearing 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 Utah Legislative 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 is available online at https://medicaid.utah.gov/waiver-application.

Public Hearing:

DMHF will conduct a second public hearing to discuss the waiver amendment. The date, time, and location is listed below:

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 this meeting may contact Jennifer Meyer-Smart at 801-538-6338.

Public Comment:

The public may comment on the proposed waiver amendment during the 30-day public comment period, which began May 6, 2019, and will continue 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