Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-140 - Choice of Health Care Delivery Program
Section R414-140-4 - Restrictions on Changes in Enrollment
Current through Bulletin 2024-06, March 15, 2024
(1) The Department must give Medicaid clients a choice of at least two health plans. Each new applicant for Medicaid in the urban counties is offered an orientation about Medicaid and the Choice of Health Care Delivery Program. A health program representative employed by the Department conducts the orientation and also enrolls Medicaid clients in a health plan. During the orientation the clients are presented with health plan options.
(2) The Department restricts the disenrollment rights of enrollees who are required to enroll with a health plan in accordance with the regulations at 42 CFR 438.56. Disenrollment rights are restricted for a period of up to 12 months with the following exceptions: