Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-302 - Eligibility Requirements
Section R414-302-9 - Third-Party Liability
Universal Citation: UT Admin Code R 414-302-9
Current through Bulletin 2024-06, March 15, 2024
(1)
(a) The department implements
42 CFR
433.138(b), on the
collection of health insurance information.
(b) The department implements Subsection
1915(b) of the Compilation of the Social Security Laws.
(2) The department requires members to report any changes in third -party liability information within 30 days.
(3) The department considers a member uncooperative if the member knowingly withholds third-party liability information without good cause.
(4) The department shall decide whether employer -provided group health insurance would be cost effective for the state to purchase as a benefit of Medicaid.
(5) The department requires members residing in selected communities to be enrolled in a Health Maintenance Organization (HMO) as their primary care provider.
(6)
(a) The
department shall enroll and select an HMO for members who do not make a
selection.
(b) The department shall
notify members of the HMO they are enrolled in and allow them ten days to
contact the department with a different selection.
(c) If the member fails to notify the
department to make a different selection within ten days, the enrollment shall
become effective for the next benefit month.
Disclaimer: These regulations may not be the most recent version. Utah may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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