Effective 5/14/2019 31A-45-401. Court ordered coverage for minor children who reside outside the service area. (1) (a) The requirements of Subsection (2) apply to a managed care organization if the managed care organization: (i) restricts coverage for nonemergency services to services provided by contracted providers within the organization’s service area; and (ii) does not offer […]
Effective 1/1/2018 31A-45-402. Alcohol and drug dependency treatment. (1) A managed care organization offering a health benefit plan providing coverage for alcohol or drug dependency treatment may require an inpatient facility to be licensed by: (a) (i) the Department of Human Services, under Title 62A, Chapter 2, Licensure of Programs and Facilities; or (ii) the […]
Effective 5/8/2018 31A-45-403. Essential health benefits. (1) The state designates the state’s own essential health benefits and does not accept a federal determination of the essential health benefits under the PPACA. (2) Subject to Subsections (3) and (4), the commissioner shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that […]
