Utah Medicaid Autism Waiver
- In July 2014, the Centers for Medicare and Medicaid Services (CMS), the federal agency that oversees state Medicaid programs, provided an informational bulletin to Medicaid agencies throughout the nation. The bulletin informed state Medicaid agencies that they must begin providing autism spectrum disorder (ASD)-related services to children under 21 through the general Medicaid benefit. This is a significant change from previous CMS guidance. (A copy of the July 2014 CMS Informational Bulletin, Clarification of Medicaid Coverage of Services to Children with Autism is attached).
- Through a home and community based waiver program, Utah Medicaid currently offers ASD-related services to a limited population (children ages 2 through 6). Under the recent CMS guidance, Medicaid will be required to serve any Medicaid eligible client under 21.
- Over the past few months, the Medicaid agency has been developing draft ASD services policy. Throughout the initial development, Utah Medicaid sought the advice and guidance of experts from Primary Children’s Medical Center, the University of Utah and Utah State University.
- At this point, we would like to discuss the CMS guidance, Utah Medicaid’s draft policy, and the impact the new policy will have on the current Medicaid Autism Waiver with a broader group of families, providers and other stakeholders. To facilitate this discussion, a meeting has been scheduled on
- Tuesday, March 31, 2015 from 1:00 PM – 3:00 PM at the Utah Department of Health, Cannon Building, Room 125, 288 North 1460 West, Salt Lake City.
- For those unable to attend in person, a call-in line will be available:
- 1. Dial the access number: 1-877-820-7831.
- 2. Enter Passcode: 988316#