Utah Admin. Code R414-507-3
(1)(a) If a ground ambulance provider's status changes during any given quarter and no longer falls under the definition of a ground ambulance provider subject to the assessment set forth under Title 26B, Chapter 3, Part 8, Ambulance Service Provider Assessment, or is no longer entitled to Medicaid ground ambulance provider payments within 30 days of the change in status, the provider shall submit a written notice of the status change and the effective date to the Reimbursement Unit.
(d)(i) The Reimbursement Unit's mailing address via the United States Postal Service is:
(ii) The Reimbursement Unit's mailing address via United Parcel Service, Federal Express, or similar is:
Utah Medicaid
Attn: Reimbursement Unit
288 North 1460 West
Salt Lake City, UT 84116-3231
Utah Medicaid
Attn: Reimbursement Unit
P.O. Box 143325
Salt Lake City, UT 84114-3325
(2) For any quarter when a ground ambulance provider is no longer subject to the assessment and notice has been given under Subsection (1):
KEY: Medicaid
Date of Last Change: May 8, 2025
Notice of Continuation: April 7, 2025
Authorizing and Implemented or Interpreted Law: 26B-1-213; 26B-3-108; 26B-3-801