Utah Administrative Code
Topic - Health
Title R410 - Health Care Financing
Rule R410-14 - Administrative Hearing Procedures
Section R410-14-25 - Restriction Program Hearings
Universal Citation: UT Admin Code R 410-14-25
Current through Bulletin 2024-06, March 15, 2024
Pursuant to 42 CFR 431.54(e), the Department may restrict Medicaid members who utilize services at a frequency or amount that are not medically necessary, in accordance with state utilization guidelines. DIH shall give the member notice and opportunity for an informal hearing pursuant to this section before imposing restrictions.
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