No. 42440 (5-year Review): Rule R414-301. Medicaid General Provisions

DAR File No.: 42440
Filed: 01/08/2018 10:00:11 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, 42 CFR 431.220 through 431.246 requires the Department to implement agency procedures for fair hearings and hearing rights for Medicaid members.

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 has not received 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:

The Department will continue this rule because it defines Medicaid programs, groups, and eligibility; spells out member rights and responsibilities in regard to application and enrollment; implements provisions to safeguard member information; allows members to request agency conferences and fair hearings to resolve problems; and implements provisions that allow the Department to contract with the Department of Human Services and the Department of Workforce Services to do eligibility determinations and provide fair hearings for Medicaid members.

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]

Effective:

01/08/2018

Authorized by:

Joseph Miner, Executive Director

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