1. (1)(a) The nursing care facility program shall include necessary information on the request form.

   1. (b) If the request form or supporting documentation is deficient, DIH shall return the incomplete notice to the requestor.
2. (2) The notice date is the date the completed request form is emailed to DIH at qii@utah.gov.
3. (3) If the receiving nursing care facility or entity receives bed licenses from more than one nursing care facility or entity and wants to have the multiple beds certified at the same time, the transferee shall complete a request form for each different transferring entity and submit the request forms at the same time.

Pursuant to Subsection 26B-3-313(3), an entity that receives bed licenses from a nursing care facility program shall provide written notice to the DIH in accordance with timing specified in Section 26B-3-313. The receiving nursing care facility program or entity shall use the form that requests Medicaid certification of transferred beds.

KEY: Medicaid

Date of Last Change: February 12, 2024

Notice of Continuation: May 23, 2023

Authorizing, and Implemented or Interpreted Law: 26B-3-108; 26B-3-313