Bill > SB0288

This bill establishes new provisions for Medicaid providers in Utah, including the creation of quality measures and incentive payments for participating Medicaid providers, which are defined as entities enrolled in Medicaid that provide covered services and are paid either through managed care entities (organizations that manage healthcare services for a set fee) or fee-for-service arrangements. The Department of Health will develop rules to define these quality measures, which can include improving health outcomes, care coordination, workforce stability, and evidence-based practices, and will evaluate providers' progress towards these measures. The department will also report annually to the Social Services Appropriations Subcommittee on provider types and their performance, and eligible providers can receive one-time incentive payments based on their performance, with a portion of appropriations set aside for administrative costs. Additionally, the bill mandates the implementation of a "closed loop referral system" to improve outreach, engagement, and care coordination for social needs care (community-level services addressing health-related social needs) for Medicaid-eligible individuals, ensuring secure access to information and tracking referral outcomes with individual consent. Finally, the bill requires the division responsible for services to persons with disabilities to notify providers at least 30 days in advance of any amendments to their contracts.

Health and Social Services

https://le.utah.gov/~2026/bills/static/SB0288.html