No. 43204 (5-year Review): Rule R414-511. Medicaid Accountable Care Organization Incentives to Appropriately Use Emergency Room Services

DAR File No.: 43204
Filed: 09/14/2018 09:24:17 AM

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 of Health (Department) to implement the Medicaid program through administrative rules. In addition, Section 26-1-5 grants the Department the authority to adopt, amend, or rescind these rules.

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 that support or oppose this rule.

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

The Department will continue this rule because it provides definitions and incentives, which set forth performance measures for Medicaid accountable care organizations to appropriately use emergency room services.

The full text of this rule may be inspected, during regular business hours, at the Office 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:

• Craig Devashrayee at the above address, by phone at 801-538-6641, by FAX at 801-538-6099, or by Internet E-mail at [e-mail]
• Carrie Stoker at the above address, by phone at 801-538-6357, by FAX at , or by Internet E-mail at [e-mail]

Effective:

09/14/2018

Authorized by:

Joseph Miner, Executive Director

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