Utah Integrated Medicaid Care Amendment Public Hearings

The Utah Department of Health, Division of Medicaid and Health Financing (DMHF), will hold public hearings to discuss an amendment opens in a new tab to Utah’s 1115 Primary Care Network (PCN) Demonstration Waiver. DMHF will accept public comment regarding this amendment until August 22, 2019.

With this waiver amendment, DMHF is requesting authority to:

• Enroll beneficiaries authorized under Utah’s 1115 PCN Demonstration Waiver in managed care plans;
• Create and operate an integrated managed care model combining the delivery of physical health and behavioral health services in five Utah counties (Weber, Davis, Salt Lake, Utah, and Washington) for the Medicaid expansion groups authorized by this waiver, except the Targeted Adult Medicaid group;
• In eight other counties (Box Elder, Cache, Morgan, Rich, Summit, Tooele, Wasatch, Iron), enroll beneficiaries who are not enrolled in Utah Integrated Medicaid Care (UMIC), in Utah’s Accountable Care Organizations (ACO) for their physical health service delivery system, and in Prepaid Mental Health Plans (PMHP) for their behavioral health services delivery system;
• Expenditure authority to add behavioral health services for the populations authorized under the waiver who are enrolled in managed care. These are the same 1915(b)(3) services authorized under the State’s 1915(b) Prepaid Mental Health Plan Waiver for State Plan populations.

Public Hearings

The DMHF will conduct a public hearing to discuss the waiver amendment. The date, time and location are listed below:

• Thursday, August 15, 2019
  2:00 p.m. to 4:00 p.m. (as part of the Medical Care Advisory Committee (MCAC) meeting)
  Cannon Health Building, Room 125
  288 N 1460 W, Salt Lake City, Utah

A conference line is available for those who would like to participate by phone: 1-877-820-7831, passcode 378804#.

Individuals requiring an accommodation to fully participate in either meeting may contact Jennifer Meyer-Smart at 801-538-6338 by 5:00 p.m. on Tuesday, August 13, 2019.