Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-504 - Nursing Facility Payments
Section R414-504-5 - Reimbursement for Intermediate Care Facilities for Persons with Intellectual Disabilities

(a) Reimbursement for the ICF/ID quality improvement incentive is in accordance with Attachment 4.19-D of the Medicaid State Plan, which is incorporated by reference in Rule R414-1.

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

(c) Providers must ensure they include necessary information in the application to qualify.

(d) For applications received and reviewed by DIH staff before the annual submission deadline, the Department shall deny them if they are incorrect or lack sufficient supporting documentation. If the Department receives an application before the annual submission deadline, the provider may submit a subsequent application that includes needed supporting documentation for consideration.

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

(f) The Department does not accept additional applications, documentation, or explanation if submitted after the annual submission deadline.