Miscellaneous
Home and Community Based New Choices Waiver Services
A non face-to-face medication reminder system using telecommunication device is covered.
Provider Requirements
A provider offering telehealth services shall
- at all times:
- act within the scope of the provider’s license under Title 58, Occupations and Professions, in accordance with the provisions of this section and all other applicable laws and rules; and
- be held to the same standards of practice as those applicable in traditional health care settings;
- If the provider does not already have a provider-patient relationship with the patient, establish a provider-patient relationship during the patient encounter in a manner consistent with the standards of practice, determined by the Division of Professional Licensing in rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, including providing the provider’s licensure and credentials to the patient;
- Before providing treatment or prescribing a prescription drug, establish a diagnosis and identify underlying conditions and contraindications to a recommended treatment after:
- obtaining from the patient or another provider the patient’s relevant clinical history; and
- documenting the patient’s relevant clinical history and current symptoms;
- be available to a patient who receives telehealth services from the provider for subsequent care related to the initial telemedicine services, in accordance with community standards of practice;
- be familiar with available medical resources, including emergency resources near the originating site, in order to make appropriate patient referrals when medically indicated;
- in accordance with any applicable state and federal laws, rules, and regulations, generate, maintain, and make available to each patient receiving telehealth services the patient’s medical records; and
- if the patient has a designated health care provider who is not the telemedicine provider:
- consult with the patient regarding whether to provide the patient’s designated health care provider a medical record or other report containing an explanation of the treatment provided to the patient and the telemedicine provider’s evaluation, analysis, or diagnosis of the patient’s condition;
- collect from the patient the contact information of the patient’s designated health care provider; and
- within two weeks after the day on which the telemedicine provider provides services to the patient, and to the extent allowed under HIPAA as that term is defined in Section 26B-3-126, provide the medical record or report to the patient’s designated health care provider, unless the patient indicates that the patient does not want the telemedicine provider to send the medical record or report to the patient’s designated health care provider.
The last bullet does not apply to prescriptions for eyeglasses or contacts.
A provider offering telemedicine services may not diagnose a patient, provide treatment, or prescribe a prescription drug based solely on one of the following:
- an online questionnaire;
- an email message; or
- a patient-generated medical history.
A provider may not offer telehealth services if:
- the provider is not in compliance with applicable laws, rules, and regulations regarding the provider’s licensed practice; or
- the provider’s license under Title 58, Occupations and Professions, is not active and in good standing.
The Division of Professional Licensing created in Section 58-1-103 is authorized to enforce the provisions of this section as it relates to providers licensed under Title 58, Occupations and Professions.
The department is authorized to enforce the provisions of:
- this section as it relates to providers licensed under this title; and
- this section as it relates to providers licensed under Chapter 2, Part 1, Human Services Programs and Facilities.
SOURCE: UT Code Sec. 26B-4-704 (Accessed Mar. 2026).
Office of Substance Use and Mental Health is required to award grants to a health facility that implements a program that provides a primary care provider access to a telehealth psychiatric consultation when the primary care provider is evaluating a patient for or providing a patient mental health treatment. See statute for details.
SOURCE UT Code 26B-1-328 & 329, (Accessed Mar. 2026).
Tenant Housing Services
For each date of service, documentation must include: … Setting in which the service was rendered (when via telehealth, the provider setting and notation that the service was provided via telehealth).
Durable Medical Equipment
In addition, documentation must indicate:
- the evaluating physician
- the date of the face-to-face
- if the evaluation was conducted via telehealth
Targeted Case Management for Individuals with Serious Mental Illness
For each date of service, documentation must include: … setting in which the service was rendered (when via telehealth, the provider setting and notation that
the service was provided via telehealth).
Medicaid Waiver for rural healthcare chronic conditions
Before January 1, 2024, the department shall apply for a Medicaid waiver with CMS to implement the coverage described in Subsection (3) for a three-year pilot program. If the waiver described in Subsection (2) is approved, the Medicaid program shall contract with a single entity to provide coordinated care for the following services to each qualified enrollee:
- a telemedicine platform for the qualified enrollee to use
- an in-home initial visit to the qualified enrollee;
- daily remote monitoring of the qualified enrollee’s qualified condition;
- all services in the qualified enrollee’s language of choice;
- individual peer monitoring and coaching for the qualified enrollee;
- available access for the qualified enrollee to video-enabled consults and voice-enabled consults 24 hours a day, seven days a week;
- in-home biometric monitoring devices to monitor the qualified enrollee’s qualified condition; and
- at-home medication delivery to the qualified enrollee.
SOURCE: Utah Code Sec. 26B-3-226, (Accessed Mar. 2026).
Medication Therapy Management Reimbursement
Effective January 1, 2024, members may receive face-to-face and telephonic Medication Therapy Management (MTM) services provided by a Medicaid enrolled pharmacist in an outpatient setting.
SOURCE: Utah Medicaid Provider Manual: Pharmacy Services, (Jan. 2026). (Accessed Mar. 2026).
Beginning July 1, 2025, the Find A Provider directory must include, at a minimum, the following required information for each provider: …
- Telehealth services offered
SOURCE: Utah Medicaid Bulletin, January 2025, (Accessed Mar. 2026).
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