Summary
The Department incorporates by reference the Utah Medicaid State Plan and approved State Plan Amendments (SPAs) to 01/01/2016. Specifically, the Department incorporates by reference SPA 15-0004-UT Targeted Case Management for the Homeless, which removes obsolete language from the State Plan regarding Targeted Case Management (TCM) for individuals who are homeless. Individuals who are homeless, eligible for Medicaid under the State Plan, and are seriously mentally ill, receive TCM services based on a different section of the State Plan. The Department also incorporates by reference SPA 15-0022-UT Reimbursement for Chiropractic Services, which updates the effective date of rates for chiropractic services to 10/01/2015, to implement an 8 percent rate increase for chiropractic providers. This proposed rule also incorporates by reference the Medical Supplies Utah Medicaid Provider Manual, and the manual's attachment for Donor Human Milk Request Form, effective 01/01/2016; incorporates by reference the Hospital Services Utah Medicaid Provider Manual with its attachments, effective 01/01/2016; incorporates by reference the Home Health Agencies Utah Medicaid Provider Manual, and the manual's attachment for the Private Duty Nursing Acuity Grid, effective 01/01/2016; incorporates by reference the Speech-Language Pathology and Audiology Services Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Hospice Care Utah Medicaid Provider Manual, and the manual's attachment for the Utah Medicaid Prior Authorization Request for Hospice Services, effective 01/01/2016; incorporates by reference the Long Term Care Services in Nursing Facilities Utah Medicaid Provider Manual, with its attachments, effective 01/01/2016; incorporates by reference the Utah Home and Community-Based Waiver Services for Individuals Age 65 or Older Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Personal Care Utah Medicaid Provider Manual, and the manual's attachment for the Request for Prior Authorization: Personal Care and Capitated Programs effective 01/01/2016; incorporates by reference the Utah Home and Community-Based Waiver Services for Individuals with an Acquired Brain Injury Utah Medicaid Provider Manual, effective 01/01/2016; Utah Community Supports Waiver for Individuals with Intellectual Disabilities or Other Related Conditions Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Utah Home and Community-Based Services Waiver for Individuals with Physical Disabilities Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Utah Home and Community-Based Waiver Services New Choices Waiver Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Utah Home and Community-Based Services Waiver for Technology Dependent, Medically Fragile Individuals Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Utah Home and Community-Based Waiver Services Medicaid Autism Waiver Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Office of Inspector General (OIG) Administrative Hearings Procedures Manual, effective 01/01/2016; incorporates by reference the Pharmacy Services Utah Medicaid Provider Manual with its attachments, effective 01/01/2016; incorporates by reference the Coverage and Reimbursement Code Look-up Tool, effective 01/01/2016; incorporates by reference the CHEC Services Utah Medicaid Provider Manual with its attachments, effective 01/01/2016; incorporates by reference the Chiropractic Medicine Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Dental, Oral Maxillofacial, and Orthodontia Services Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the General Attachments (All Providers) for the Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Indian Health Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Laboratory Services Utah Medicaid Provider Manual with its attachments, effective 01/01/2016; incorporates by reference the Medical Transportation Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Non-Traditional Medicaid Plan Utah Medicaid Provider Manual with its attachments, effective 01/01/2016; incorporates by reference the Licensed Nurse Practitioner Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Physical Therapy and Occupational Therapy Services Utah Medicaid Provider Manual, and the manual's attachment for Physical Therapy and Occupational Therapy Decision Tables, effective 01/01/2016; incorporates by reference the Physician Services, Anesthesiology and Laboratory Services Utah Medicaid Provider Manual with its attachments, effective 01/01/2016; incorporates by reference the Podiatric Services Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Primary Care Network Utah Medicaid Provider Manual with its attachments, effective 01/01/2016; incorporates by reference the Rehabilitative Mental Health and Substance Use Disorder Services Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Rural Health Clinics and Federally Qualified Health Centers Services Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the School-Based Skills Development Services Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference Section I: General Information Utah Medicaid Provider Manual, effective 01/01/2016; incorporates by reference the Targeted Case Management for Individuals with Serious Mental Illness Utah Medicaid Provider Manual, effective 01/01/2016; Targeted Case Management for Early Childhood (Ages 0-4) Utah Medicaid Provider Manual, effective 01/01/2016; Vision Care Services Utah Medicaid Provider Manual, effective 01/01/2016; Women's Services Utah Medicaid Provider Manual, effective 01/01/2016; Medically Complex Children?s Waiver Utah Medicaid Provider Manual, effective 01/01/2016; and Autism Spectrum Disorder Related Services for EPSDT Eligible Individuals Utah Medicaid Provider Manual, effective 01/01/2016.