No. 31737: R414-55. Medicaid Policy for Hospital Emergency DepartmentCopayment Procedures

DAR File No.: 31737
Filed: 07/18/2008, 01:09
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 26-1-5 grants the Department of Health the power to adopt, amend, or rescind rules that shall have the force and effect of law. In addition, 42 CFR 447.55 authorizes the Department to create copayment procedures for Medicaid clients. Section 26-18-2.3 directs the Department of Health to implement programs to safeguard against unnecessary or inappropriate use of Medicaid services. Section 26-18-10 directs the Department of Health to establish methods of payment for medical services provided to Medicaid recipients.

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

The Department did not receive any written or oral comments regarding this rule.

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

This rule should be continued because it establishes Medicaid copayment policy for non-emergency use of outpatient hospital emergency departments by Medicaid clients. This helps the Department of Health to safeguard against unnecessary or inappropriate use of Medicaid services.

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:

Kimi McNutt 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