Section R590-283-6 - Reporting(1) This rule incorporates by reference the Utah Health Information Network's (UHIN) "Adaptive Behavior Services/Applied Behavior Analysis (ABA) Billing Standard" version 3.1, which is available on the department's website at https://insurance.utah.gov or on UHIN's website at https://uhin.org.(2) A carrier shall use the UHIN "Adaptive Behavior Services/Applied Behavior Analysis (ABA) Billing Standard" version 3.1 to identify and report state-required benefit claims subject to defrayal under Subsection R590-283-4(2)(c) and this section.(3)(a) To project the state's defrayal payments, a carrier anticipating a defrayal payment shall submit to the commissioner on a quarterly basis the Mandate Defrayal Data template for the current reporting period.(b) A report shall be filed: (i) on or before May 15 of each year for the period January 1 through March 31;(ii) on or before August 15 of each year for the period January 1 through June 30;(iii) on or before November 15 of each year for the period January 1 through September 30;(iv) on or before February 15 of each year for the period January 1 through December 31 of the previous year; and(v) for the purpose of Section R590-283-4, on or before September 1 of each year for the period January 1 through December 31 of the previous year.(4) Reports shall be submitted via the System for Electronic Rate and Form Filings, SERFF.Utah Admin. Code R590-283-6
Adopted by Utah State Bulletin Number 2020-02, effective 12/23/2019Amended by Utah State Bulletin Number 2022-04, effective 2/8/2022Amended by Utah State Bulletin Number 2022-21, effective 10/24/2022Amended by Utah State Bulletin Number 2023-12, effective 6/9/2023