1. (1) "Chronically homeless individual" means an individual who:

   1. (a) has a substance use disorder, serious mental illness, developmental disability, post-traumatic stress disorder, cognitive impairments resulting from a brain injury, or chronic illness or disability; and

      1. (i) lives or resides for at least 12 months, or on at least four separate occasions that amount to at least 12 months in the last three years, in a place not meant for human habitation, in a safe haven, or in an emergency shelter; or
      2. (ii) lives in supportive housing and has previously met the criteria established in Subsection R414-311-2(1)(a)(i).
   2. (b) lives or resides for at least six months within a 12-month period in a place not meant for human habitation, in a safe haven, or an emergency shelter, and has a substance use or serious mental health disorder; or
   3. (c) is a victim of domestic violence who resides in a place not meant for human habitation, a safe haven, or in an emergency shelter.
2. (2) "Dependent child" means a child who is under 19 years of age, and required to be included in the household size for the Targeted Adult Medicaid program.

3. (3) "Individual needing treatment" means an individual who:

   1. (a) receives General Assistance from the Department of Workforce Services and has been diagnosed with a substance use or mental health disorder; or
   2. (b) was discharged from the Utah State Hospital and was admitted due to a civil commitment.

4. (4) "Justice involved individual" means an individual who needs substance use or mental health treatment and:

   1. (a) has complied with and substantially completed a substance use disorder treatment program while incarcerated in jail or prison; or
   2. (b) was discharged from the Utah State Hospital and was admitted to the civil unit in connection with a criminal charge, or to the forensic unit due to a criminal offense, in which the individual was charged or convicted;
   3. (c) is involved with a drug or mental health court;
   4. (d) is court-ordered to receive substance abuse or mental health treatment through a district or tribal court; or
   5. (e) is on probation or parole with a serious mental illness, serious substance use disorder, or both.

The definitions in Rules R414-1 and R414-301 apply to this rule. In addition, the following definitions apply throughout this rule:

KEY: Medicaid, Targeted Adult Medicaid, eligibility

Date of Last Change: June 19, 2025

Notice of Continuation: May 4, 2023

Authorizing, and Implemented or Interpreted Law: 26B-3