Limitations on Physician Services

The Division of Medicaid and Health Financing (DMHF) will submit changes to the Medicaid State Plan to update and clarify limitations in coverage for physician services. These changes clarify physician licensing, provision of services, physician procedures, and utilization criteria.

DMHF does not expect this amendment (SPA 17-0019-UT, Limitations on Physician Services) to result in a fiscal impact to the agency.

This amendment is pending approval from the Centers for Medicare and Medicaid Services, and the proposed effective date is July 1, 2017.

A copy of these 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 these changes are also available at local county health department offices.