Utah Admin. Code R590-283-6 - Reporting
(1) This rule incorporates by reference the
Utah Health Information Network's (UHIN) "Adaptive Behavior Services/Applied
Behavior Analysis (ABA) Billing Standard" version 3.1, which is available on
the department's website at https://insurance.utah.gov or on
UHIN's website at https://uhin.org.
(2) A carrier shall use the UHIN "Adaptive
Behavior Services/Applied Behavior Analysis (ABA) Billing Standard" version 3.1
to identify and report state-required benefit claims subject to defrayal under
Subsection R590-283-4(2)(c)
and this section.
(3)
(a) To project the state's defrayal payments,
a carrier anticipating a defrayal payment shall submit to the commissioner on a
quarterly basis the Mandate Defrayal Data template for the current reporting
period.
(b) A report shall be
filed:
(i) on or before May 15 of each year
for the period January 1 through March 31;
(ii) on or before August 15 of each year for
the period January 1 through June 30;
(iii) on or before November 15 of each year
for the period January 1 through September 30;
(iv) on or before February 15 of each year
for the period January 1 through December 31 of the previous year;
and
(v) for the purpose of Section
R590-283-4, on or before
September 1 of each year for the period January 1 through December 31 of the
previous year.
(4) Reports shall be submitted via the System
for Electronic Rate and Form Filings, SERFF.
Notes
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