Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-504 - Nursing Facility Payments
Section R414-504-4 - Quality Improvement Incentive

(1) Reimbursement for Nursing Home Quality Improvement Incentives is in accordance with Attachment 4.19-D of the Medicaid State Plan, which is incorporated by reference in Rule R414-1.

(2) DIH staff are not required to request additional information relating to any application submission.

(3) Providers shall ensure all necessary information is included in the application to qualify.

(4) For applications received and reviewed by DIH staff before the annual submission deadline, if the application is incorrect or lacks sufficient supporting documentation, then the application shall be denied. If it is received before the annual submission deadline, the provider may submit a subsequent application that includes all needed supporting documentation for consideration.

(5) For applications received before the annual submission deadline and reviewed by DIH staff after the annual submission deadline, then the provider's application may be considered for qualification of a reduced amount, where possible, based on the submitted documentation.

(6) In all cases, the Department does not accept additional applications, documentation, or explanation if submitted after the annual submission deadline.