NOTICE OF SUBSTANTIVE CHANGE
TYPE OF FILING: Amendment
1. Agency Information
Health and Human Services, Integrated Healthcare
Salt Lake City, UT 84114-3325
2. Contact Persons
Please address questions regarding information on this notice to the persons listed above.
3. General Information
A. Rule or section catchline:
R414-505-7. Management Entity Updates
B. Purpose of the new rule or reason for the change:
Based on internal review of contracts, the Division of Integrated Healthcare (division) determined it necessary to make this rule change to specify a time frame for non-state government-owned entities (NSGEs) to notify the department of any change in management entity.
C. Summary of the new rule or change:
This amendment requires NSGEs to notify the Department of Health and Human Services (department) of any change to a new management entity within 30 days or face possible contractual penalties.
5. Fiscal Information
Provide an estimate and written explanation of the aggregate anticipated cost or savings to:
There is no anticipated fiscal impact on the state budget as this change implements a new type of notification procedure requirement for NSGEs. As NSGEs are already required to make other types of notifications to the division, this new notification requirement is anticipated to fit within existing and established procedures.
This change affects neither Medicaid services nor reimbursement to providers.
There is no anticipated fiscal impact on local governments, as they neither fund nor provide services under the Medicaid program.
C. Small businesses ("small business" means a business employing 1-49 persons):
There is no anticipated fiscal impact on small businesses as this change implements a new type of notification procedure for NSGEs. As NSGEs are already required to make other types of notifications to the division, this new notification requirement is anticipated to fit within existing and established procedures.
This change affects neither Medicaid services nor reimbursement to providers.
D. Non-small businesses ("non-small business" means a business employing 50 or more persons):
There is no anticipated fiscal impact on non-small businesses as this change implements a new type of notification procedure for NSGEs. As NSGEs are already required to make other types of notifications to the division, this new notification requirement is anticipated to fit within existing and established procedures.
This change affects neither Medicaid services nor reimbursement to providers.
E. Persons other than small businesses, non-small businesses, state, or local government entities ("person" means any individual, partnership, corporation, association, governmental entity, or public or private organization of any character other than an agency):
There is no anticipated fiscal impact on other persons, including Medicaid members, nonprofits, and entities outside of government or business, as they do not provide these types of services.
F. Compliance costs for affected persons:
There is no anticipated compliance cost for affected persons, including the division, small businesses, and non-small businesses, as this change implements a new type of notification procedure for NSGEs.
As NSGEs are already required to make other types of notifications to the division, this new notification requirement is anticipated to fit within existing and established procedures for affected persons.
This change affects neither Medicaid services nor reimbursement to providers.
6. Regulatory Impact Summary Table
Enter the cost or savings in the relevant cell. If there is no cost or savings, enter, "$0." If a cost or savings is inestimable, enter, "inestimable."
7. Regulatory Impact Analysis Approval
The Commissioner of the Department of Health and Human Services, Tracy S. Gruber, has reviewed and approved this regulatory impact analysis.
8. Family Impact Information
A. The agency has considered this rule's impact on family health, stability, and formation:
9. Citation Information
Provide citations to the statutory authority for the rule. If there is also a federal requirement for the rule, provide a citation to that requirement:
11. Public Notice Information
The public may submit written or oral comments to the agency identified in box 1.
A. Comments will be accepted until:
12. Effective Date Information
This rule change MAY become effective on:
(NOTE: This is the date the agency anticipates making the filing effective. It is NOT the effective date)
13. Agency Authorization Information
Agency head or
designee and title:
Tracy S. Gruber, Commissioner
R414. Health and Human Services, Integrated Healthcare.
R414-505. Participation in the Nursing Facility Non-State Government-Owned Upper Payment Limit Program.R414-505-7. Management Entity Updates. (1) Within 30 days of any change in management entity, an NSGE shall provide notice to the department's Medicaid reimbursement unit manager through email at NF_Rates@utah.gov, regardless of whether the management agreement changes at that time. (2) Failure to comply with the procedure described in Subsection (1) may result in contractual penalties. KEY: Medicaid
Date of Last Change: [November 20, 2023]2026 Notice of Continuation: May 7, 2026
Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108
!--dar--
