Welcome to your daily briefing on healthcare developments in Utah. Today we're covering 8 key stories including updates on utah healthcare headlines, background & context. Let's dive in.
5 stories
Only the prior 36 months of licensing compliance history is available using the program search (regulated health facility program records only extend back to October 2023). To request access to compliance history records more than 36….
Relevant to healthcare professionals operating in UT.
Information about professional licensing in the Physician and Surgeon profession within the State of Utah.
Relevant to healthcare professionals operating in UT.
2026 Leg. Updates Related to DLBC Health Facility Certification and Licensing; S.B. 174.
Relevant to healthcare professionals operating in UT.
DHHS is responsible for providing a wide range of health and social services so everyone in Utah can live safe and healthy lives.
Relevant to healthcare professionals operating in UT.
Utah’s All Payer Claims Database (APCD) contains data from health insurance carriers, Medicaid, and third party administrators in Utah beginning in 2013. Data suppliers share medical, pharmacy, and dental claims as well as insurance….
Relevant to healthcare professionals operating in UT.
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3 stories
The No Surprises Act good-faith-estimate requirement applies to all licensed providers offering services to self-pay or uninsured patients — not just hospitals or large groups. The estimate must be provided within timeframes that vary by how far in advance the appointment is scheduled.
Patient-provider dispute resolution under NSA typically defaults to the patient when the practice cannot produce a timely good-faith estimate. The penalty is the full disputed amount being struck.
Covered entities must annually recertify their 340B eligibility through HRSA. Missing the recertification window pushes the entity to inactive status, which means immediate loss of 340B pricing and potentially diversion violations on previously dispensed drugs. Reinstatement requires a new application.
The discount value of 340B pricing for a covered entity often exceeds six figures annually. Letting the recertification lapse for paperwork reasons is one of the most expensive administrative errors in the regulation.
Three application defects routinely delay payor enrollment: incomplete work-history explanations for any gap over 30 days, a malpractice carrier-history that does not reconcile with the explanation, and CAQH attestation that has lapsed. Each forces a back-and-forth with the credentialing committee.
A new clinician without active payor enrollment cannot bill for covered services for most plans. Each month of delay is foregone revenue that does not retroactively recover.
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