Utah Administrative Code (Current through November 1, 2019) |
R410. Health, Health Care Financing |
R410-14. Administrative Hearing Procedures |
R410-14-25. Restriction Program Hearings
Latest version.
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Pursuant to 42 CFR 431.54(e), the Department may restrict Medicaid recipients who utilize services at a frequency or amount that are not medically necessary, in accordance with state utilization guidelines. DMHF shall give the recipient notice and opportunity for an informal hearing pursuant to this section before imposing restrictions.