Utah Admin. Code R414-90-6 - Reimbursement Methodology

(1) Medicaid payments for approved DSMT are based on the established Medicaid fee schedule, unless a DSMT provider bills for a lower amount.
(2) Diabetic glucose monitoring is part of the global maternity payment. Providers may not submit additional billing for:
(a) an office visit;
(b) DSMT; or
(c) nutritional medical counseling for diabetic glucose monitoring during a member's pregnancy.

Notes

Utah Admin. Code R414-90-6
Adopted by Utah State Bulletin Number 2024-07, effective 3/25/2024

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.