1. (1) Eligible billing providers include providers who bill for services provided under Utah's approved 1915(c) HCBS waivers, and for services delivered through both traditional and self-administered service provider arrangements.

2. (2) State plan services delivered through fee-for-service or managed-care payment arrangements include the following:

   1. (a) home health services;
   2. (b) private duty nursing for in-home services only;
   3. (c) hospice services for in-home services only;
   4. (d) personal care services;
   5. (e) case management;
   6. (f) school-based services;
   7. (g) rehabilitative services for outpatient mental health and substance use treatment services; and
   8. (h) early and periodic screening, diagnostic, and treatment for autism spectrum disorder-related services.
3. (3) Eligible services include services approved by the Centers for Medicare and Medicaid Services for the HCBS Enhanced Funding Spending Plan.

KEY: Medicaid

Date of Last Change: November 10, 2023

Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108