Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-501 - Preadmission Authorization, Retroactive Authorization, and Continued Stay Review
Section R414-501-8 - Payment Responsibility
Current through Bulletin 2024-06, March 15, 2024
(1) If a nursing facility accepts a resident who elects not to apply for Medicaid coverage, and the nursing facility can prove that it gave the resident or his legal representative written notice of Medicaid eligibility and preadmission requirements, then the resident or legal representative will be solely responsible for payment for the services rendered. However, if a nursing facility cannot prove it gave the notice to a resident or his legal representative, then the nursing facility will be solely responsible for payment for the services rendered during the time when the resident was eligible for Medicaid coverage.
(2) For Preadmission Authorization requests described in Section R414-501-3, the Department will deny payment to a nursing facility for services provided:
(3) For Retroactive Authorization described in Section R414-501-5, the Department will deny payment to a nursing facility for services provided:
