26-18-10 - Utah Medical Assistance Program -- Policies and standards.
26-18-10. Utah Medical Assistance Program -- Policies and standards.
(1) The division shall develop a medical assistance program, which shall be known as theUtah Medical Assistance Program, for low income persons who are not eligible under the stateplan for Medicaid under Title XIX of the Social Security Act or Medicare under Title XVIII ofthat act.
(2) Persons in the custody of prisons, jails, halfway houses, and other nonmedicalgovernment institutions are not eligible for services provided under this section.
(3) The department shall develop standards and administer policies relating to eligibilityrequirements, consistent with Subsection 26-18-3(8), for participation in the program, and forpayment of medical claims for eligible persons.
(4) The program shall be a payor of last resort. Before assistance is rendered the divisionshall investigate the availability of the resources of the spouse, father, mother, and adult childrenof the person making application.
(5) The department shall determine what medically necessary care or services arecovered under the program, including duration of care, and method of payment, which may bepartial or in full.
(6) The department shall not provide public assistance for medical, hospital, or othermedical expenditures or medical services to otherwise eligible persons where the purpose of theassistance is for the performance of an abortion, unless the life of the mother would beendangered if an abortion were not performed.
(7) The department may establish rules to carry out the provisions of this section.
Amended by Chapter 62, 2008 General Session