Utah Administrative Code (Current through November 1, 2019) |
R414. Health, Health Care Financing, Coverage and Reimbursement Policy |
R414-40. Private Duty Nursing Service |
R414-40-5. Reimbursement of Services
Latest version.
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(1) Medicaid reimburses nursing service in accordance with the Utah Medicaid State Plan, Attachment 4.19-B.
(2) A private duty nurse caring for two patients in the home shall bill with the UN modifier.
(3) A provider shall not charge the Department a fee that exceeds the provider's usual and customary charges for the provider's private pay patients.