Utah Admin. Code R414-1B-5 - Prohibition of Payment for Certain Abortions with Medicaid Funds

Current through Bulletin 2022-07, April 1, 2022

(1) A Medicaid provider may not use Medicaid funds for the abortion billing codes referenced in Section R414-1B-2 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;
(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) A Medicaid provider may not construe the certification requirements of Section R414-1B-3 to mean that Medicaid may reimburse for an abortion billing code beyond the exceptions listed in Subsection R414-1B-5(1)(a) and (b).


Utah Admin. Code R414-1B-5
Amended by Utah State Bulletin Number 2015-14, effective 7/1/2015

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