Utah Code Ann. § 26B-3-224

Medicaid waiver for increased integrated health care reimbursement.

Effective Nov 6, 2025Amended by Chapter 16, 2025 Special Session 1
  1. (1) As used in this section:

    1. (a) "Integrated health care setting" means a health care or behavioral health care setting that provides integrated physical and behavioral health care services.
    2. (b) "Local mental health authority" means a local mental health authority described in Section 17-77-301.
  2. (2) The department shall develop a proposal to allow the state Medicaid program to reimburse a local mental health authority for covered physical health care services provided in an integrated health care setting to Medicaid eligible individuals.
  3. (3) The department shall apply for a Medicaid waiver or a state plan amendment with CMS to implement the proposal described in Subsection (2).
  4. (4) If the waiver or state plan amendment described in Subsection (3) is approved, the department shall:

    1. (a) implement the proposal described in Subsection (2); and
    2. (b) while the waiver or state plan amendment is in effect, submit a report to the Health and Human Services Interim Committee each year before November 30 detailing:

      1. (i) the number of patients served under the waiver or state plan amendment;
      2. (ii) the cost of the waiver or state plan amendment; and
      3. (iii) any benefits of the waiver or state plan amendment.

Amended by Chapter 16, 2025 Special Session 1

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