Utah amends Medicaid expansion, financing rules, and reporting requirements

Medicaid enrollees

Individuals enrolled in Medicaid expansion experience revised eligibility, certification periods, and potential service reductions or enrollment closures if program costs exceed appropriations.

Private hospitals

Private hospitals are subject to annual statutory assessments capped at specific dollar thresholds and must have their encounter data reported annually by accountable care organizations.

Medicaid accountable care organizations

Accountable care organizations must collaborate on patient enrollment and submit detailed annual inpatient and outpatient hospital data to the department by October 15.

Counties

Counties are exempt from providing matching funds for newly enrolled Medicaid expansion and health coverage improvement program individuals, and certain counties may integrate behavioral and physical health delivery.