Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-1B - Payment for Limited Abortion Services
Section R414-1B-4 - Standards for Certification
Universal Citation: UT Admin Code R 414-1B-4
Current through Bulletin 2024-06, March 15, 2024
(1) Each provider who submits a certification is responsible to be informed of the abortion funding restrictions found in Section 76-7-331 and to assess whether it receives public funds for any abortion that is not excepted in Subsection 76-7-331(2)(a) or (b).
(2) A provider is not using public funds to directly or indirectly fund prohibited abortion services if the provider certifies:
(a) it uses non-public funds to
make up any difference between the reimbursement the provider receives from all
payors for services identified by abortion billing codes, other than those
services identified in Subsection
R414-1B-3(1),
and the costs incurred by the provider for those procedures; or
(b) the provider has adopted another method,
based on generally accepted accounting principles, which provides a good faith
basis for supporting the certification.
(3) Each provider that submits a certification meeting the requirements of this rule shall maintain records to support the certification and make those records available to the Department on request consistent with participation as a Medicaid provider.
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