PUBLIC NOTICE
Utah 1115 Demonstration Waiver Renewal
Note: The initial public notice for the 1115 Waiver Renewal was posted online May 5 through June 11, 2021. The Department is extending public notice an additional thirty (30) days. No changes have been made to the Renewal. Additional comments during this extended public notice period are welcomed. All comments previously submitted during the original public comment period (May 5 through June 11, 2021) are still relevant and being considered. Public hearings for this renewal application were previously held on May 20, 2021, and May 24, 2021.
The Utah Department of Health is requesting a five-year renewal of Utah's demonstration waiver under Section 1115 of the Social Security Act. Utah's existing demonstration waiver is currently approved through June 30, 2022. With this application, Utah is seeking a renewal period from July 1, 2022, through June 30, 2027. This 1115 waiver renewal requests authority to continue to operate the currently approved programs and benefits listed below, with minimal changes.
Primary Care Network (PCN) Program
Current Eligibles/Non-Traditional Benefits
Utah's Premium Partnership Program (UPP)
Targeted Adult Medicaid
Former Foster Care Youth from Another State
Dental Benefits for Individuals with Blindness or Disabilities
Substance Use Disorder (SUD) Treatment in Institutions for Mental Disease (IMD)
Targeted Adult Dental Benefits
Adult Expansion Medicaid
Community Engagement Requirement
Employer Sponsored Insurance Reimbursement
Dental Benefits for Aged Individuals
Utah Medicaid Integrated Care (UMIC)
Intensive Stabilization Services (ISS)
Serious Mental Illness (SMI) Services in an IMD
In addition to the renewal of current waiver and expenditure authorities, the state is requesting the following changes:
A name change of the state's 1115 waiver
Technical changes to the Special Terms and Conditions (STCs) for ISS
Combining Demonstration Populations III, V, VI and Current Eligible CHIP Children (referred to as the UPP program)
Technical changes to references to the American Recovery and Reinvestment Act (ARRA).
The state is also requesting that the following pending amendments be considered in addition to the waiver renewal, with the hope of gaining approval for these amendments prior to the approval of the full waiver renewal:
UPP Premium Reimbursement Increase Amendment
In Vitro Fertilization and Genetic Testing for Qualified Conditions
Medicaid Coverage for Justice Involved Populations
Housing Related Services and Supports requested under the Fallback Plan Amendment.
Public Comment:
A copy of the public notice and the proposed renewal are available online at: https://medicaid.utah.gov/1115-waiver
The public may comment on the proposed renewal during the 30-day public comment period from July 20, 2021, through August 19, 2021.
Comments may be submitted:
Online: https://medicaid.utah.gov/1115-waiver
Email: Medicaid1115waiver@utah.gov
Mail: Utah Department of Health
Division of Medicaid and Health
Financing
PO Box 143106
Salt Lake City, UT 84114-3106
Attn: Laura Belgique
Notice of Special Accommodations (ADA)
In compliance with the Americans with Disabilities Act, individuals needing special accommodations (including auxiliary communicative aids and services) during this meeting should notify Laura Belgique at 801-538-6241.