Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-1B - Payment for Limited Abortion Services
Section R414-1B-5 - Prohibition of Payment for Certain Abortions with Medicaid Funds
Universal Citation: UT Admin Code R 414-1B-5
Current through Bulletin 2024-06, March 15, 2024
(1) A Medicaid provider may not use Medicaid funds for the abortion billing codes referenced in Section R414-1B-2 unless:
(a) in the professional judgment of the
pregnant woman's attending physician, the abortion is necessary to save the
pregnant woman's life and all requirements of 42 CFR 441, Subpart E have been
satisfied;
(b) the pregnancy is the
result of rape or incest reported to law enforcement agencies, unless the woman
was unable to report the crime for physical reasons or fear of
retaliation.
(2) A Medicaid provider may not construe the certification requirements of Section R414-1B-3 to mean that Medicaid may reimburse for an abortion billing code beyond the exceptions listed in Subsection R414-1B-5(1)(a) and (b).
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