- (1) A Medicaid interpretive service provider (ISP) shall submit invoices, via secure email, to the email address designated on the Department website.
- (2) The service provider must use the invoice form prescribed by the Medicaid agency, and shall submit the form in its native file format.
- (3) An ISP may only invoice Medicaid one time per month, except an ISP that submits both telephonic and in-person claims for payment shall submit two separate invoices, one for each type of service.
- (4) An ISP shall submit an invoice no later than the last day of the month following the month the service is provided. For example, if a service were provided on April 20, the invoice would be due no later than May 31.
- (5) The Department shall deny an invoice that does not meet the time requirement set forth in Subsection (4).
- (6) An ISP may not bill for more than one Medicaid member per invoice line. An interpreter in a group situation shall divide the time appropriately and avoid overlapping time periods.
- (7) The Department may recoup monies previously paid to an ISP for one year after the date of service, when the service is invoiced without a corresponding Medicaid claim in the state system. The Department, however, may not recoup monies when an ISP declares on the original invoice that a member missed a scheduled appointment.
- (8) An ISP must conform to applicable Medicaid policies and procedures as well as other applicable laws.
- (9) An ISP shall execute a business associate agreement with the Department before providing medical interpreting services that may result in a Medicaid claim.
KEY: Medicaid
Date of Last Change: November 10, 2023
Notice of Continuation: September 1, 2025
Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108; 63G-3-201