Utah Admin. Code R414-504-5 - Reimbursement for Intermediate Care Facilities for Persons with Intellectual Disabilities

The following principles apply to the payment of community-based ICF/IDs licensed under Section 26B-2-212.

(1) The Department pays according to rates established in Attachment 4.19-D of the Medicaid State Plan.

(2)

(a) Reimbursement for the ICF/ID quality improvement incentive is in accordance with Attachment 4.19-D of the Medicaid State Plan, which is incorporated by reference in Rule R414-1.

(b) DIH staff are not required to request additional information relating to any application submission.

(c) Providers must ensure they include necessary information in the application to qualify.

(d) For applications received and reviewed by DIH staff before the annual submission deadline, the Department shall deny them if they are incorrect or lack sufficient supporting documentation. If the Department receives an application before the annual submission deadline, the provider may submit a subsequent application that includes needed supporting documentation for consideration.

(e) For applications received before the annual submission deadline and reviewed by DIH staff after the annual submission deadline, the Department may consider the provider's application for qualification of a reduced amount, where possible, based on the submitted documentation.

(f) The Department does not accept additional applications, documentation, or explanation if submitted after the annual submission deadline.

Notes

Utah Admin. Code R414-504-5

Amended by Utah State Bulletin Number 2017-5, effective 2/15/2017 Amended by Utah State Bulletin Number 2023-14, effective 7/1/2023