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Utah Primary Care Network

State: Utah
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 02/08/2002
Effective: 07/01/2002
Expiration: 06/30/2022

Supporting Documents

Pending Application(s) and Related Documents

Date Title
Date 07/13/2020 Title Pending Application - Justice-Involved Individuals (PDF, 6.21 MB) View/Submit Comments
Date 11/04/2019 Title Pending Application - Fallback Plan (PDF, 8.32 MB) View/Submit Comments
Date 08/15/2017 Title Pending Application - August 2017 Amendment Request (PDF, 2.82 MB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
Date 12/23/2019 Title Demonstration Approval (PDF, 2.51 MB)
Date 12/19/2014 Title Fact Sheet (PDF, 51.36 KB)

Administrative Record

Date Title
Date 07/17/2020 Title CMS Approval - STC Attachment Update (PDF, 910.19 KB)
Date 07/10/2020 Title CMS Complete Letter (PDF, 253.24 KB)
Date 12/24/2019 Title Intensive Stabilization Services Amendment Acceptance Letter (PDF, 963 KB)
Date 12/03/2019 Title DY18 Q1 Monitoring Report July - September 2019 (PDF, 698.7 KB)
Date 11/25/2019 Title Intensive Stabilization Services Amendment Approval (PDF, 1.92 MB)
Date 11/07/2019 Title CMS Complete Letter – Fallback Amendment (PDF, 961.09 KB)
Date 10/16/2019 Title SUD Evaluation Design Approval (PDF, 882.7 KB)
Date 10/07/2019 Title DY17 Annual Report (PDF, 433.85 KB)
Date 09/11/2019 Title CMS Complete Letter – Integrated Care Amendment (PDF, 934.79 KB)
Date 08/29/2019 Title Integrated Care Amendment Application (PDF, 2.27 MB) View Comments
Date 07/11/2019 Title CMS Complete Letter – Dental Amendment (PDF, 925.41 KB)
Date 06/28/2019 Title Aged Population Dental Amendment Application (PDF, 9.26 MB) View Comments
Date 06/06/2019 Title DY17 Q3 Monitoring Report January-March 2019 (PDF, 489.23 KB)
Date 06/05/2019 Title May 27, 2019 Family Planning Amendment Withdrawal Letter (PDF, 3.08 MB)
Date 04/26/2019 Title April 26, 2019 State Acceptance Letter (PDF, 1.27 MB)
Date 03/29/2019 Title Community Engagement Amendment Approval (PDF, 975.52 KB)
Date 03/06/2019 Title DY17 Q2 Monitoring Report October-December 2018 (PDF, 400.79 KB)
Date 02/28/2019 Title SUD Dental Amendment Acceptance Letter (PDF, 967.83 KB)
Date 02/08/2019 Title Social Detoxification Amendment CMS Completeness Determination Letter (PDF, 182.38 KB)
Date 02/06/2019 Title State Social Detoxification Amendment Application (PDF, 9.75 MB) View Comments
Date 02/01/2019 Title SUD Dental Amendment Approval (PDF, 999.97 KB)
Date 12/05/2018 Title DY17 Q1 Monitoring Report July-September 2018 (PDF, 340.51 KB)
Date 10/11/2018 Title DY16 Annual Report (PDF, 308.14 KB)
Date 08/10/2018 Title Draft Evaluation Design (PDF, 577.61 KB)
Date 07/12/2018 Title CMS Completeness Letter (PDF, 117.67 KB)
Date 07/05/2018 Title CMS Completeness Letter (PDF, 117.26 KB)
Date 06/29/2018 Title Amendment Request (PDF, 7.66 MB) View Comments
Date 06/21/2018 Title State June 2018 Amendment Application (PDF, 6.55 MB) View Comments
Date 05/31/2018 Title DY16 Q3 Monitoring Report January-March 2018 (PDF, 345.08 KB)
Date 03/29/2018 Title DY16 Q2 Monitoring Report October-December 2017 (PDF, 934.3 KB)
Date 11/30/2017 Title UT PCN Extension State Acceptance Letter (PDF, 1.12 MB)
Date 11/09/2017 Title UT PCN SUD Implementation Protocol Approval (11/09/2017) (PDF, 326.07 KB)
Date 10/31/2017 Title CMS Extension Approval (PDF, 582.3 KB)
Date 08/30/2017 Title UT PCN Amendment CMS Completeness Determination (08/30/17) (PDF, 124.41 KB)
Date 07/26/2017 Title Dental Benefits for Blind and Disabled Individuals Amendment Acceptance Letter (PDF, 957.64 KB)
Date 06/29/2017 Title Dental Benefits for Blind and Disabled Individuals Amendment Approval (PDF, 479.5 KB)
Date 02/17/2017 Title Dental Benefits for Blind and Disabled Individuals Amendment Completeness Determination (PDF, 110.15 KB)
Date 02/01/2017 Title Dental Benefits for Blind and Disabled Individuals Amendment Request (PDF, 1.96 MB) View Comments
Date 12/16/2016 Title Demonstration Approval (12/16/2016) (PDF, 432 KB)
Date 08/19/2016 Title CMS Complete Letter (08/19/2016) (PDF, 65.03 KB)
Date 08/19/2016 Title State Application – 2016 extension Application (PDF, 11.13 MB) View Comments
Date 07/15/2016 Title CMS Incomplete Letter (07/15/2016) (PDF, 33.4 KB)
Date 01/12/2016 Title CMS Completeness Letter (01/12/2016) (PDF, 91.84 KB)
Date 11/19/2015 Title Temporary Extension Letter (11/19/2015) (PDF, 90.73 KB)
Date 07/09/2015 Title CMS Incomplete Letter (07/09/2015) (PDF, 484.08 KB)
Date 06/26/2015 Title 1-Year Extension Application (06/26/15) (PDF, 14.81 MB) View Comments
Date 12/23/2014 Title Coverage Application Letter (12/23/2014) (PDF, 100.78 KB)
Date 12/19/2014 Title Demonstration Approval (12/19/2014) (PDF, 463.18 KB)
Date 12/24/2013 Title Temporary Extension Letter (12/24/2013) (PDF, 103.6 KB)
Date 11/14/2013 Title Approval of Temporary Extension Letter (11/14/13) (PDF, 81.24 KB)
Date 07/01/2013 Title 1115 Demo Waiver (07/01/13-06/30/13) (PDF, 8.5 MB)
Date 07/01/2013 Title 1115 Demo Waiver (07/01/13-06/30/16) (PDF, 8.5 MB)
Date 01/14/2013 Title Approval of Extension Request Letter (01/14/13) (PDF, 102.47 KB)
Date 12/19/2012 Title Request for Extension Letter (12/19/12) (PDF, 102.47 KB)
Date 12/19/2012 Title Request for Extension Letter (12/19/12) (PDF, 50.94 KB)
Date 09/28/2012 Title Approval to Amend Letter (09/28/12) (PDF, 54.75 KB)
Date 07/01/2010 Title Special Terms and Conditions (07/01/10-06/30/13) (PDF, 267.13 KB)
Date 07/01/2010 Title Waiver List (07/01/10-06/30/13) (PDF, 22.86 KB)
Date Title Matchable Authorities (PDF, 28.71 KB)
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