Utah Admin. Code R414 – Integrated Healthcare | Midpage

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Utah Administrative Code

Title 414

Utah Admin. Code R414

Integrated Healthcare

Health and Human Services

1Utah Medicaid Program 1AMedicaid Policy for Experimental, Investigational or Unproven Medical Practices 1BPayment for Limited Abortion Services 2AInpatient Hospital Services 3AOutpatient Hospital Services 5Doula Services 7AMedicaid Certification of New Nursing Facilities 8Electronic Personal Medical Records for the Medicaid Program 9Federally Qualified Health Centers and Rural Health Clinics 10Physician Services 10ATransplant Services Standards 11Podiatric Services 12Laboratory Services 14Home Health Services 14AHospice Care 15Residents Personal Needs Fund 19ACoverage for Dialysis Services by an End-Stage Renal Disease Facility 21Physical Therapy and Occupational Therapy 22Administrative Sanction Procedures and Regulations 23Provider Enrollment 24Claims and Adjustments for the Provider Reimbursement Information System for Medicaid 27Medicaid Enrollment Process for Nursing Care Facilities 29Client Review and Restriction Policy 31Inpatient Psychiatric Services for Individuals Under 21 Years of Age 32Hospital Recordkeeping Policy 33DTargeted Case Management for Individuals with Serious Mental Illness 36Behavioral Health Services 38Personal Care Services 40Private Duty Nursing Services 42Telehealth 49Dental, Oral, and Maxillofacial Surgeons and Orthodontia 52Optometry Services 53Eyeglasses Services 54Speech-Language Pathology Services 59Audiology Services 60Medicaid Policy for Pharmacy Program 60ADrug Utilization Review Board 60BPreferred Drug List 61Home and Community-Based Services Waivers 70Durable Medical Equipment, Prosthetics, Orthotics, and Supplies 71Early and Periodic Screening, Diagnostic, and Treatment Program 90Diabetes Self-Management Training 140Choice of Health Care Delivery Program 301Medicaid General Provisions 302Eligibility Requirements 303Coverage Groups 304Income and Budgeting 305Resources 306Program Benefits and Date of Eligibility 307Eligibility for Home and Community-Based Services Waivers 308Application, Eligibility Determinations, Improper Medical Assistance, and Suspension of Benefits 309Medicare Drug Benefit Low-Income Subsidy Determination 311Targeted Adult Medicaid 312Adult Expansion Medicaid 320Medicaid Health Insurance Flexibility and Accountability Demonstration Waiver 401Nursing Care Facility Assessment 501Preadmission Authorization, Retroactive Authorization, and Continued Stay Review 502Nursing Facility Levels of Care 503Preadmission Screening and Resident Review 504Nursing Facility Payments 505Participation in the Nursing Facility Non-State Government-Owned Upper Payment Limit Program 506Hospital Provider Assessments 507Ground Ambulance Service Provider Assessments 508Requirements for Transfer of Bed Licenses 510Intermediate Care Facility for Persons with Intellectual Disabilities Transition Program and Education 511Medicaid Accountable Care Organization Incentives to Appropriately Use Emergency Room Services 512Use of Extrapolation in Provider Audits 513Intergovernmental Transfers 514Requirements for Moratorium Exception 515Long-Term Acute Care 516Nursing Facility Non-State Government-Owned Upper Payment Limit Quality Improvement Program 517Inpatient Hospital Provider Assessments 518Emergency Services Program for Non-Citizens 519Settings for Home and Community-Based Services 520Admission Criteria for Medically Complex Children's Waiver 521Accountable Care Organization Hospital Report 522Electronic Visit Verification Requirements for Personal Care and Home Health Care Services 523Extraordinary Care Definition for Spousal Caregiver Compensation 524American Rescue Plan Act, Home and Community-Based Services Enhanced Funding 525Interpretive Services Invoice Requirements 526Quality Standards for Inpatient and Outpatient Hospitals