(1) Services delivered through the caregiver compensation service delivery method are implemented in accordance with the terms published in the service descriptions in the provider contract or in the SAS service code descriptions on the division's website.
- (a) The division shall communicate changes to SAS service code descriptions to fiscal agents before the implementation of the change.
- (b) Fiscal agents shall communicate changes to SAS service code descriptions to SAS employers and SAS employees before the implementation of the change.
(2) The number of hours supported living services can be provided through the caregiver compensation service delivery method shall be approved by the RFS committee and based on assessed need. The number of authorized hours falls into one of four categories, reflected in this table:
TABLEAuthorized Hours for Supported Living Services through the Caregiver Compensation Service Delivery MethodCategoryAuthorized HoursCategory 1Up to 10 hours per weekCategory 2Up to 20 hours per weekCategory 3Up to 30 hours per weekCategory 4Up to 40 hours per week
- (3) The categories represent the maximum number of compensated service hours a caregiver may receive to provide extraordinary care to a person.
(4) The category a person is determined eligible for is based on the assessed needs of the person and the specific waiver the person participates in.
- (a) For a person participating in the Community Supports Waiver or Community Transitions Waiver, assessed need is determined by the person's Utah Comprehensive Assessment of Needs and Strengths (UCANS) score;
- (b) For a person participating in the Acquired Brain Injury Waiver, assessed need is determined by the person's Utah Comprehensive Brain Injury Assessment (CBIA) score.
- (c) Additional information provided by the support coordinator, in coordination with the family, including information related to medical or behavioral needs, shall also be considered.
- (5) The caregiver compensation service delivery method is evaluated and approved or denied through the RFS process. If approved, the caregiver compensation service delivery method may be used to deliver supported living services to meet a person's needs.
(6) A support coordinator may submit a request through the RFS process for supported living services to be provided through the caregiver compensation service delivery method when a person seeks to use caregiver compensation as the service delivery method to receive any of the person's needed supported living service, and:
- (a) the person is entering services and is determined to need supported living;
- (b) the person seeks to modify their PCSP and budget to move any part of the person's current budget to supported living delivered through the caregiver compensation service delivery method; or
- (c) based on documentation provided through the RFS process, the RFS committee authorizes additional services due to an overall increase in the person's needs.
(7) Caregiver compensation shall be identified on the PCSP as the service delivery method for the person's supported living services when:
- (a) the RFS committee has reviewed and approved the support coordinator's authorization for supported living to be delivered through the caregiver compensation service delivery method; and
- (b) the number of hours requested by the support coordinator has been approved by the RFS committee pursuant to Sections R539-12-4 through R539-12-7 and this section.
KEY: people with disabilities, caregiver compensation, HCBS waiver, Medicaid
Date of Last Change: June 16, 2026
Authorizing, and Implemented or Interpreted Law: 26B-6-402; 26B-6-403