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7 LONG TITLE
8 General Description:
9 This bill amends the Medicaid waiver for the delivery of adult dental services.
10 Highlighted Provisions:
11 This bill:
12 ▸ amends the date on which the Medicaid program will start delivering adult dental
13 services under a federal waiver from May 1, 2017, to July 1, 2017; and
14 ▸ amends the reimbursement method for dental services not provided by the University
15 of Utah School of Dentistry.
16 Money Appropriated in this Bill:
17 None
18 Other Special Clauses:
19 This bill provides a special effective date.
20 Utah Code Sections Affected:
21 AMENDS:
22 26-18-413, as enacted by Laws of Utah 2016, Chapter 284
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24 Be it enacted by the Legislature of the state of Utah:
25 Section 1. Section 26-18-413 is amended to read:
26 26-18-413. Medicaid waiver for delivery of adult dental services.
27 (1) No later than June 30, 2016, the department shall ask the United States Secretary of
28 Health and Human Services to grant waivers from federal statutory and regulatory law
29 necessary for the Medicaid program to provide dental services in the manner described in
30 Subsection (2).
31 (2) (a) To the extent funded, services shall be provided to only blind or disabled
32 individuals, as defined in 42 U.S.C. Sec. 1382c(a)(1), who are 18 years of age or older and
33 eligible for the program.
34 (b) To the extent possible, services within Salt Lake County shall be provided through
35 the University of Utah School of Dentistry.
36 (c) Each fiscal year, the University of Utah School of Dentistry shall transfer money to
37 the program in an amount equal to the program's non-federal share of the cost of providing
38 services under this section through the school during the fiscal year.
39 (d) During each general session of the Legislature, the department shall report to the
40 Social Services Appropriations Subcommittee whether the University of Utah School of
41 Dentistry will have sufficient funds to make the transfer required by Subsection (2)(c) for the
42 current fiscal year.
43 (e) Where possible, services not provided by the University of Utah School of Dentistry
44 shall be provided [
45 (i) through fee for service reimbursement until July 1, 2018; and
46 (ii) after July 1, 2018, through the method of reimbursement used by the division for
47 Medicaid dental benefits.
48 (f) Subject to appropriations by the Legislature, and as determined by the department,
49 the scope, amount, duration, and frequency of services may be limited.
50 (3) The reporting requirements of Section 26-18-3 apply to the waivers requested under
51 Subsection (1).
52 (4) If the waivers requested under Subsection (1) are granted, the Medicaid program
53 shall begin providing dental services in the manner described in Subsection (2) no later than
54 [
55 (5) If the federal share of the cost of providing dental services under this section will be
56 less than 65% during any portion of the next fiscal year, the Medicaid program shall cease
57 providing dental services under this section indefinitely no later than the end of the current fiscal
58 year.
59 Section 2. Effective date.
60 If approved by two-thirds of all the members elected to each house, this bill takes effect
61 upon approval by the governor, or the day following the constitutional time limit of Utah
62 Constitution, Article VII, Section 8, without the governor's signature, or in the case of a veto,
63 the date of veto override.
Legislative Review Note
Office of Legislative Research and General Counsel