Utah Admin. Code R414-1B-3 - Certification
(1) Each Medicaid provider that bills the
Utah Department of Health for services related to an abortion billing code at
any time after May 3, 2004, must certify that public funds it receives from the
Department are not used to pay or otherwise reimburse, either directly or
indirectly, any person, agency, or facility for the performance of any induced
abortion services unless:
(a) in the
professional judgment of the pregnant woman's attending physician, the abortion
is necessary to save the pregnant woman's life and all requirements of 42 CFR
441, Subpart E have been satisfied; or
(b) the pregnancy is the result of rape or
incest reported to law enforcement agencies, unless the woman was unable to
report the crime for physical reasons or fear of
retaliation.
(2) The
certification shall be ongoing and apply to all future claims unless the
provider notifies the Department in writing of a change in its certification
status.
(3) Nothing in this rule
shall increase Medicaid coverage for abortion services beyond what is required
under federal law.
Notes
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