No. 30081: R414-310. Medicaid Primary Care Network Demonstration Waiver

DAR File No.: 30081
Filed: 06/13/2007, 02:17
Received by: NL

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 enact administrative rules to implement Medicaid programs. Section 26-1-5 authorizes the Department to adopt, amend, or rescind rules as necessary to carry out the provisions of this title. Section 1115 of the Social Security Act authorizes the Division to establish waiver programs to provide services not otherwise available to Medicaid clients. The Primary Care Network (PCN) Demonstration Waiver is allowed under Section 1115 of the Social Security Act, which the Department implements under these statutes.

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

Written comments from PCN clients indicate that they wish PCN services to continue.

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

This rule is necessary because it establishes the Medicaid PCN Demonstration Waiver. The rule also establishes applicant and enrollee rights and responsibilities, eligibility, enrollment, and termination requirements. Therefore, this rule should be continued.

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:

Melissa Frost at the above address, by phone at 801-538-6381, by FAX at 801-538-6099, or by Internet E-mail at [e-mail]

Authorized by:

David N. Sundwall, Executive Director