Medicaid Outpatient Upper Payment Limit (UPL)

The Division of Medicaid and Health Financing (DMHF) is submitting changes to the Medicaid State Plan through "Attachment 4.19-B, SPA 13-022-UT Outpatient Hospital Upper Payment Limit".

These changes are meant to clarify verbiage in determining which cost report to use and the utilization trend that is included in calculating the outpatient hospital upper payment limit.

DMHF does not expect any increase in annual costs to result from this amendment.

The proposed effective date of this amendment is 07/01/2013, and it is 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.