Utah Medicaid Provider Manual, Hospice Care Services § 14

The following table is designed to provide hyperlinks to relevant documents,

forms, and information to be used in conjunction with this provider manual.

For information regarding:

Administrative Rules

Utah Administrative Code Table of

Contents

Utah Administrative Code, Title R414-1,

Utah Medicaid Program

Utah Administrative Code, Title R432-750,

Hospice Rule

Utah Administrative Code, Title R414-14A-

5. Hospice Care. Service Coverage.

General information including:

Billing

Fee for service and managed

care

Member eligibility

Provider participation

Section I: General Information

Claims

Managed Care: Accountable Care

Organizations

Administrative Rules:

Eligibility Requirements. R414-302.

Medicaid General Provisions. R414-301.

Program Benefits and Date of Eligibility.

R414-306.

Utah Medicaid Program. R414-1.

Information including policy

and rule updates:

Medicaid Information Bulletins

(MIB) (Issued bimonthly)

Medicaid provider manuals

Utah State Bulletin (Issued on

the 1st and 15th of each month)

Utah Medicaid Official Publications

Utah State Bulletin

Medical supplies and DME Medical Supplies and Durable Medical

Equipment Provider Manual

Durable Medical Equipment, Prosthetics,

Orthotics and Supplies. R414-70.

Modifiers Section I: General Information

Patient (member) eligibility

lookup tool

Eligibility Lookup Tool

Prior authorization Utah Medicaid Prior Authorization

Hospice Admission Record Request

Provider portal access Provider Portal Access

Provider training Utah Medicaid Provider Training

References including:

Social Security Act

Code of Federal Regulations

Utah Code

Social Security Act 1905(a)

Social Security Act 1861

42 CFR 418.309 Hospice Aggregate Cap

42 CFR 418.112 Condition of Participation

Utah Annotated Code Title 58