The department incorporates by reference the Utah Medicaid State Plan and approved State Plan Amendments (SPAs) to 10/01/2015. Specifically, the department incorporates by reference the following: SPA 15-0002-UT Inpatient Hospital Services, which removes duplicative details for Utah specific diagnosis related groups, removes prior authorization requirements that already exist, and removes provisions of the Superior System Waiver based on consultation with CMS; SPA 15-0019-UT Reimbursement for Dental Services and Dentures, which updates the effective date of rates for dental services and dentures to 10/01/ 2015 and increases these rates through additional legislative appropriations. This amendment also removes reimbursement methodology that no longer applies to children and pregnant women; SPA 15-0020-UT ICD-10-CM Code Updates, which updates the state plan to implement International Classification of Diseases, Clinical Modification (ICD-10-CM) codes that become effective 10/01/2015; and SPA 15-0021-UT Outpatient Hospital Supplemental Payments, which updates the utilization trend the department uses for the outpatient hospital upper payment limit. 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 10/01/2015; incorporates by reference the Hospital Services Utah Medicaid Provider Manual with its attachments, effective 10/01/2015; incorporates by reference the Home Health Agencies Utah Medicaid Provider Manual, and the manual's attachment for the Private Duty Nursing Acuity Grid, effective 10/01/2015; incorporates by reference the Speech-Language Pathology and Audiology Services Utah Medicaid Provider Manual, effective 10/01/2015; 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 10/01/2015; incorporates by reference the Long Term Care Services in Nursing Facilities Utah Medicaid Provider Manual, with its attachments, effective 10/01/2015; incorporates by reference the Utah Home and Community-Based Waiver Services for Individuals Age 65 or Older Utah Medicaid Provider Manual, effective 10/01/2015; 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 10/01/2015; incorporates by reference the Utah Home and Community-Based Waiver Services for Individuals with an Acquired Brain Injury Utah Medicaid Provider Manual, effective 10/01/2015; Utah Community Supports Waiver for Individuals with Intellectual Disabilities or Other Related Conditions Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Utah Home and Community-Based Services Waiver for Individuals with Physical Disabilities Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Utah Home and Community-Based Waiver Services New Choices Waiver Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Utah Home and Community-Based Services Waiver for Technology Dependent, Medically Fragile Individuals Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Utah Home and Community-Based Waiver Services Medicaid Autism Waiver Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Office of Inspector General (OIG) Administrative Hearings Procedures Manual, effective 10/01/2015; incorporates by reference the Pharmacy Services Utah Medicaid Provider Manual with its attachments, effective 10/01/2015; incorporates by reference the Coverage and Reimbursement Code Look-up Tool, effective 10/01/2015; incorporates by reference the CHEC Services Utah Medicaid Provider Manual with its attachments, effective 10/01/2015; incorporates by reference the Chiropractic Medicine Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Dental, Oral Maxillofacial, and Orthodontia Services Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the General Attachments (All Providers) for the Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Indian Health Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Laboratory Services Utah Medicaid Provider Manual with its attachments, effective 10/01/2015; incorporates by reference the Medical Transportation Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Non-Traditional Medicaid Plan Utah Medicaid Provider Manual with its attachments, effective 10/01/2015; incorporates by reference the Licensed Nurse Practitioner Utah Medicaid Provider Manual, effective 10/01/2015; 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 10/01/2015; incorporates by reference the Physician Services, Anesthesiology and Laboratory Services Utah Medicaid Provider Manual with its attachments, effective 10/01/2015; incorporates by reference the Podiatric Services Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Primary Care Network Utah Medicaid Provider Manual with its attachments, effective 10/01/2015; incorporates by reference the Psychology Services Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Rehabilitative Mental Health and Substance Use Disorder Services Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Rural Health Clinics and Federally Qualified Health Centers Services Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the School-Based Skills Development Services Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference Section I: General Information Utah Medicaid Provider Manual, effective 10/01/2015; incorporates by reference the Targeted Case Management for Individuals with Serious Mental Illness Utah Medicaid Provider Manual, effective 10/01/2015; Targeted Case Management for Early Childhood (Ages 0-4) Utah Medicaid Provider Manual, effective 10/01/2015; Vision Care Services Utah Medicaid Provider Manual, effective 10/01/2015; Women's Services Utah Medicaid Provider Manual, effective 10/01/2015; Medically Complex Children?s Waiver Utah Medicaid Provider Manual, effective 10/01/2015; and Autism Spectrum Disorder Related Services for EPSDT Eligible Individuals Utah Medicaid Provider Manual, effective 10/01/2015. (DAR NOTE: A corresponding 120-day (emergency) rule that is effective as of 10/01/2015 is under DAR No. 39781 in this issue, October 15, 2015, of the Utah State Bulletin.)