Utah Medicaid Post-authorization Request - Service Intensity Add-On (Sia) for Hospice Care - Utah

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Utah Medicaid Post-authorization Request - Service Intensity Add-On (Sia) for Hospice Care - Utah

Utah Medicaid Post-authorization Request - Service Intensity Add-On (Sia) for Hospice Care is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.

FAQ

Q: What is a Medicaid post-authorization request?
A: A Medicaid post-authorization request is a request for approval of a service or treatment after it has been provided.

Q: What is the Service Intensity Add-On (SIA) for hospice care in Utah Medicaid?
A: The Service Intensity Add-On (SIA) is an additional payment that can be requested for certain hospice services that require increased levels of care.

Q: Who can request the Service Intensity Add-On (SIA) for hospice care in Utah Medicaid?
A: The hospice provider or facility can request the Service Intensity Add-On (SIA) for hospice care in Utah Medicaid.

Q: What types of hospice services may qualify for the Service Intensity Add-On (SIA) in Utah Medicaid?
A: Hospice services that involve high levels of labor, increased care intensity, or specialized services may qualify for the Service Intensity Add-On (SIA) in Utah Medicaid.

Q: How can a hospice provider or facility request the Service Intensity Add-On (SIA) for hospice care in Utah Medicaid?
A: The hospice provider or facility must submit a post-authorization request to the Utah Medicaid program, providing necessary documentation and justification for the need of the add-on payment.

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Form Details:

  • Released on January 1, 2016;
  • The latest edition currently provided by the Utah Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.

Download Utah Medicaid Post-authorization Request - Service Intensity Add-On (Sia) for Hospice Care - Utah

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