Public Hearing on Primary Care Network 1115 Demonstration Waiver

The Division of Medicaid and Health Financing (DMHF) will hold public hearings to discuss proposed amendments to the Primary Care Network (PCN) 1115 Demonstration Waiver. These amendments include requesting authority to implement enrollment limits for adults without dependent children, limiting the number of eligible months for PCN recipients and adults without dependent children, and implementing a work requirement for PCN recipients.

In addition, the State will request authority to charge a higher co-pay for non-emergent use of the emergency room for certain adult groups, and to not allow presumptive eligibility or retroactive coverage for certain adult groups. The State will also request authority to change eligibility criteria and enrollment caps for different groups through state administrative rule for adults without dependent children. Finally, the State will request to expand the current Early and Periodic Screening, Diagnostic and Treatment Program (EPSDT) waiver for 19 and 20-year-olds to adults without dependent children.

These topics will be discussed at public hearings to be held on Thursday, June 22, 2017, from 2:00 pm to 4:00 pm, and Monday, July 10, 2017, from 3:00 pm to 5:00 pm. Both hearings will be in Room 125 of the Cannon Health Building, 288 North 1460 West, Salt Lake City, Utah.

A conference line is available for those who would like to participate by phone: [phone], passcode 313537#. Individuals requiring an accommodation to fully participate in this meeting should contact Jennifer Meyer-Smart at 801-538-6338 by 5:00 pm on June 19th.