Utah Admin. Code R414-524-2 - Program Eligibility

(1) Eligible billing providers include providers who bill for services provided under Utah's approved 1915(c) HCBS waivers, and for services delivered through both traditional and self-administered service provider arrangements.

(2) State plan services delivered through fee-for-service or managed-care payment arrangements include the following:

(a) home health services;

(b) private duty nursing for in-home services only;

(c) hospice services for in-home services only;

(d) personal care services;

(e) case management;

(f) school-based services;

(g) rehabilitative services for outpatient mental health and substance use treatment services; and

(h) early and periodic screening, diagnostic, and treatment for autism spectrum disorder-related services.

(3) Eligible services include services approved by the Centers for Medicare and Medicaid Services for the HCBS Enhanced Funding Spending Plan.

Notes

Utah Admin. Code R414-524-2

Adopted by Utah State Bulletin Number 2022-05, effective 2/14/2022