Utah Administrative Code (Current through November 1, 2019) |
R414. Health, Health Care Financing, Coverage and Reimbursement Policy |
R414-1. Utah Medicaid Program |
R414-1-31. Withholding of Payments
Latest version.
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(1) In addition to other remedies allowed by law and unless specified otherwise, the Department may withhold payments to a provider if:
(a) the provider fails to provide the requested information within 30 calendar days from the date of a written request for information; or
(b) the provider has an outstanding balance owing the Department for any reason, including, but not limited to, claims adjustments or a provider assessment.
(2) The Department shall provide written notice before withholding payments.
(3) When the Department rescinds withholding of payments to a provider, it will, without notice, resume payments according to the regular claims payment cycle.