R414-524-2. Program Eligibility

(1) Eligible billing providers include providers who bill for services provided under Utah's approved 1915(c) HCBS waivers, and for services delivered through both traditional and self-administered service provider arrangements. (2) State plan services delivered through fee-for-service or managed-care payment arrangements include the following: (a) home health services; (b) private duty nursing for in-home services only; (c) hospice services for in-home services only; (d) personal care services; (e) case management; (f) school-based services; (g) rehabilitative services for outpatient mental health and substance use treatment services; and (h) early and periodic screening, diagnostic, and treatment for autism spectrum disorder-related services. (3) Eligible services include services approved by the Centers for Medicare and Medicaid Services for the HCBS Enhanced Funding Spending Plan.