26B-3-224. Medicaid waiver for increased integrated health care reimbursement.
| (1) |
As used in this section:
Terms Used In Utah Code 26B-3-224- Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
- CMS: means the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services. See Utah Code 26B-3-101
- Medicaid program: means the state program for medical assistance for persons who are eligible under the state plan adopted pursuant to Title XIX of the federal Social Security Act. See Utah Code 26B-3-101
- State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
| (a) |
“Integrated health care setting” means a health care or behavioral health care setting that provides integrated physical and behavioral health care services. |
| (b) |
“Local mental health authority” means a local mental health authority described in Section 17-43-301. |
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| (2) |
The department shall develop a proposal to allow the state Medicaid program to reimburse a local mental health authority for covered physical health care services provided in an integrated health care setting to Medicaid eligible individuals. |
| (3) |
Before December 31, 2022, the department shall apply for a Medicaid waiver or a state plan amendment with CMS to implement the proposal described in Subsection (2). |
| (4) |
If the waiver or state plan amendment described in Subsection (3) is approved, the department shall:
| (a) |
implement the proposal described in Subsection (2); and |
| (b) |
while the waiver or state plan amendment is in effect, submit a report to the Health and Human Services Interim Committee each year before November 30 detailing:
| (i) |
the number of patients served under the waiver or state plan amendment; |
| (ii) |
the cost of the waiver or state plan amendment; and |
| (iii) |
any benefits of the waiver or state plan amendment. |
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Renumbered and Amended by Chapter 306, 2023 General Session
