Utah Admin. Code R414-19A-7 - Limitations
(1) Medicare becomes the primary
reimbursement source for individuals who meet Medicare-eligibility criteria.
ESRD facilities must assist members in applying for and pursuing final Medicare
eligibility.
(2) Medicaid
reimburses dialysis services through a composite rate. Payment for services
that are part of the composite rate may not be reimbursed separately.
(3) Regardless of the dialysis method used,
composite payments are limited to one unit each session and no more than one
unit each day. Continuous cycling peritoneal dialysis, or any other dialysis
services that occur overnight, are eligible for one composite
payment.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.