Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-29 - Client Review and Restriction Policy
Section R414-29-1 - Introduction and Authority
Universal Citation: UT Admin Code R 414-29-1
Current through Bulletin 2024-06, March 15, 2024
(1) This rule sets out the criteria and process to restrict a Medicaid member to specific Medicaid providers if the member is found to have a pattern of using Medicaid services at a frequency or amount not medically necessary.
(2) This rule implements the requirements found in 42 CFR 431.54(e) and 42 CFR 456.3.
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