Title R414 - Health Care Financing, Coverage and Reimbursement Policy

  1. Rule R414-1 - Utah Medicaid Program (§ R414-1-1 to R414-1-31)
  2. Rule R414-1A - Medicaid Policy for Experimental, Investigational or Unproven Medical Practices (§ R414-1A-1 to R414-1A-3)
  3. Rule R414-1B - Payment for Limited Abortion Services (§ R414-1B-1 to R414-1B-5)
  4. Rule R414-1C - Coronavirus Public Health Emergency Period (§ R414-1C-1 to R414-1C-2)
  5. Rule R414-2A - Inpatient Hospital Services (§ R414-2A-1 to R414-2A-12)
  6. Rule R414-2B - Inpatient Intensive Physical Rehabilitation Services (Repealed) (§ R414-2B-1 to R414-2B-600)
  7. Rule R414-3A - Outpatient Hospital Services (§ R414-3A-1 to R414-3A-9)
  8. Rule R414-4x - Policy Statement on Denial of Payment to Medicaid Provider When Client Fails to Keep Scheduled Appointment (Repealed) (§ R414-4x-1)
  9. Rule R414-6 - Reduction in Certain Targeted Case Management Services (§ R414-6-1 to R414-6-4)
  10. Rule R414-7A - Medicaid Certification of New Nursing Facilities (§ R414-7A-1)
  11. Rule R414-7C - Alternative Remedies for Nursing Facilities (§ R414-7C-1 to R414-7C-2)
  12. Rule R414-8 - Electronic Personal Medical Records for the Medicaid Program (§ R414-8-1 to R414-8-6)
  13. Rule R414-9 - Federally Qualified Health Centers and Rural Health Clinics (§ R414-9-1)
  14. Rule R414-10 - Physician Services (§ R414-10-1 to R414-10-6)
  15. Rule R414-10A - Transplant Services Standards (§ R414-10A-1 to R414-10A-22)
  16. Rule R414-10B - Children's Organ Transplants (§ R414-10B-1 to R414-10B-8)
  17. Rule R414-11 - Podiatric Services (§ R414-11-1 to R414-11-7)
  18. Rule R414-12 - Laboratory Services (§ R414-12-1 to R414-12-5)
  19. Rule R414-13 - Psychology Services (Repealed) (§ R414-13-1 to R414-13-5)
  20. Rule R414-14 - Home Health Services (§ R414-14-1 to R414-14-6)
  21. Rule R414-14A - Hospice Care (§ R414-14A-1 to R414-14A-30)
  22. Rule R414-15 - Residents Personal Needs Fund (§ R414-15-1 to R414-15-4)
  23. Rule R414-19A - Coverage for Dialysis Services by an End Stage Renal Disease Facility (§ R414-19A-0 to R414-19A-9)
  24. Rule R414-21 - Physical Therapy and Occupational Therapy (§ R414-21-1)
  25. Rule R414-22 - Administrative Sanction Procedures and Regulations (§ R414-22-1 to R414-22-10)
  26. Rule R414-23 - Provider Enrollment (§ R414-23-1 to R414-23-4)
  27. Rule R414-27 - Medicaid Certification of Nursing Care Facilities (§ R414-27-1 to R414-27-4)
  28. Rule R414-29 - Client Review/Education and Restriction Policy (§ R414-29-1 to R414-29-7)
  29. Rule R414-31 - Inpatient Psychiatric Services for Individuals Under Age 21 (§ R414-31-1 to R414-31-6)
  30. Rule R414-32 - Hospital Record-keeping Policy (§ R414-32-1)
  31. Rule R414-33B - Substance Abuse Targeted Case Management (Repealed) (§ R414-33B-1 to R414-33B-7)
  32. Rule R414-33D - Targeted Case Management for Individuals with Serious Mental Illness (§ R414-33D-1 to R414-33D-7)
  33. Rule R414-34 - Substance Abuse Services (Repealed) (§ R414-34-1 to R414-34-7)
  34. Rule R414-35 - Mental Health Services for Children in State Custody (Repealed) (§ R414-35-1 to R414-35-7)
  35. Rule R414-36 - Rehabilitative Mental Health and Substance Use Disorder Services (§ R414-36-1 to R414-36-7)
  36. Rule R414-38 - Personal Care Services (§ R414-38-1 to R414-38-8)
  37. Rule R414-40 - Private Duty Nursing Service (§ R414-40-1 to R414-40-5)
  38. Rule R414-42 - Telehealth (§ R414-42-1 to R414-42-5)
  39. Rule R414-49 - Dental, Oral and Maxillofacial Surgeons and Orthodontia (§ R414-49-1 to R414-49-8)
  40. Rule R414-52 - Optometry Services (§ R414-52-1 to R414-52-5)
  41. Rule R414-53 - Eyeglasses Services (§ R414-53-1 to R414-53-5)
  42. Rule R414-54 - Speech-Language Pathology Services (§ R414-54-1)
  43. Rule R414-55 - Medicaid Policy for Hospital Emergency Department Copayment Procedures (Repealed) (§ R414-55-1 to R414-55-3)
  44. Rule R414-58 - Children's Organ Transplants (§ R414-58-1 to R414-58-8)
  45. Rule R414-59 - Audiology Services (§ R414-59-1)
  46. Rule R414-60 - Medicaid Policy for Pharmacy Program (§ R414-60-1 to R414-60-12)
  47. Rule R414-60A - Drug Utilization Review Board (§ R414-60A-1 to R414-60A-3)
  48. Rule R414-60B - Preferred Drug List (§ R414-60B-1 to R414-60B-7)
  49. Rule R414-61 - Home and Community-Based Services Waivers (§ R414-61-1 to R414-61-2)
  50. Rule R414-70 - Medical Supplies, Durable Medical Equipment, and Prosthetic Devices (§ R414-70-1 to R414-70-8)
  51. Rule R414-71 - Medical Supplies, Durable Medical Equipment, and Prosthetic Devices (§ R414-71-1 to R414-71-5)
  52. Rule R414-90 - Diabetes Self-Management Training (§ R414-90-1 to R414-90-5)
  53. Rule R414-99 - Chiropractic Services (Repealed) (§ R414-99-1)
  54. Rule R414-100 - Medicaid Primary Care Network Services (§ R414-100-1 to R414-100-4)
  55. Rule R414-140 - Choice of Health Care Delivery Program (§ R414-140-1 to R414-140-7)
  56. Rule R414-200 - Non-Traditional Medicaid Health Plan Services (§ R414-200-1 to R414-200-4)
  57. Rule R414-301 - Medicaid General Provisions (§ R414-301-1 to R414-301-7)
  58. Rule R414-302 - Eligibility Requirements (§ R414-302-1 to R414-302-11)
  59. Rule R414-303 - Coverage Groups (§ R414-303-1 to R414-303-13)
  60. Rule R414-304 - Income and Budgeting (§ R414-304-1 to R414-304-17)
  61. Rule R414-305 - Resources (§ R414-305-1 to R414-305-11)
  62. Rule R414-306 - Program Benefits and Date of Eligibility (§ R414-306-1 to R414-306-6)
  63. Rule R414-307 - Eligibility for Home and Community-Based Services Waivers (§ R414-307-1 to R414-307-13)
  64. Rule R414-308 - Application, Eligibility Determinations Improper Medical Assistance, and Suspension of Benefits (§ R414-308-1 to R414-308-11)
  65. Rule R414-309 - Medicare Drug Benefit Low-Income Subsidy Determination (§ R414-309-1 to R414-309-2)
  66. Rule R414-310 - Medicaid Primary Care Network Demonstration Waiver (§ R414-310-1 to R414-310-15)
  67. Rule R414-311 - Targeted Adult Medicaid (§ R414-311-1 to R414-311-7)
  68. Rule R414-312 - Adult Expansion Medicaid (§ R414-312-1 to R414-312-7)
  69. Rule R414-320 - Medicaid Health Insurance Flexibility and Accountability Demonstration Waiver (§ R414-320-1 to R414-320-17)
  70. Rule R414-401 - Nursing Care Facility Assessment (§ R414-401-1 to R414-401-5)
  71. Rule R414-501 - Preadmission Authorization, Retroactive Authorization, and Continued Stay Review (§ R414-501-1 to R414-501-12)
  72. Rule R414-502 - Nursing Facility Levels of Care (§ R414-502-1 to R414-502-8)
  73. Rule R414-503 - Preadmission Screening and Resident Review (§ R414-503-1 to R414-503-8)
  74. Rule R414-504 - Nursing Facility Payment (§ R414-504-1 to R414-504-5)
  75. Rule R414-505 - Participation in the Nursing Facility Non-State Government-Owned Upper Payment Limit Program (§ R414-505-1 to R414-505-6)
  76. Rule R414-506 - Hospital Provider Assessments (§ R414-506-1 to R414-506-7)
  77. Rule R414-507 - Ground Ambulance Service Provider Assessments (§ R414-507-1 to R414-507-7)
  78. Rule R414-508 - Requirements for Transfer of Bed Licenses (§ R414-508-1 to R414-508-5)
  79. Rule R414-509 - Medicaid Autism Waiver Open Enrollment Process (Repealed) (§ R414-509-1 to R414-509-6)
  80. Rule R414-510 - Intermediate Care Facility for Persons with Intellectual Disabilities Transition Program and Education (§ R414-510-1 to R414-510-8)
  81. Rule R414-511 - Medicaid Accountable Care Organization Incentives to Appropriately Use Emergency Room Services (§ R414-511-1 to R414-511-3)
  82. Rule R414-512 - Use of Extrapolation in Provider Audits (§ R414-512-1 to R414-512-3)
  83. Rule R414-513 - Intergovernmental Transfers (§ R414-513-1 to R414-513-4)
  84. Rule R414-514 - Requirements for Moratorium Exception (§ R414-514-1 to R414-514-2)
  85. Rule R414-515 - Long Term Acute Care (§ R414-515-1 to R414-515-8)
  86. Rule R414-516 - Nursing Facility Non-State Government-Owned Upper Payment Limit Quality Improvement Program (§ R414-516-1 to R414-516-9)
  87. Rule R414-518 - Emergency Services Program for Non-Citizens (§ R414-518-1 to R414-518-4)
  88. Rule R414-517 - Inpatient Hospital Provider Assessments (§ R414-517-1 to R414-517-7)
  89. Rule R414-519 - Settings for Home and Community-Based Services (§ R414-519-1 to R414-519-3)
  90. Rule R414-520 - Admission Criteria for Medically Complex Children's Waiver (§ R414-520-1 to R414-520-5)
  91. Rule R414-521 - Accountable Care Organization Hospital Report (§ R414-521-1)
  92. Rule R414-522 - Accountable Care Organization Hospital Report (§ R414-522-1 to R414-522-4)
  93. Rule R414-524 - [Effective until 2/26/2022] American Rescue Plan Act, Home and Community-Based Services Enhanced Funding (§ R414-524-1 to R414-524-4)
  94. Rule R414-525 - Interpretive Services Invoice Requirements (§ R414-525-1 to R414-525-2)

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