The Medicaid Outpatient Fee schedule report is no longer being generated. The payment of claims will still follow the process outlined in the Utah Medicaid State Plan, which may be found at: https://www.health.utah.gov/stplan/spa/A_4-19-B.pdf
    Medicaid coverage may be found on the Coverage and Reimbursement Code Lookup tool. Additionally, reimbursement for services not priced using OPPS or CAH methodology is based on the established Medicaid fee schedule found at: https://health.utah.gov/stplan/lookup/CoverageLookup.php
    Medicare Outpatient Code Editor, OPPS Pricer, fee schedules and other information may be found on CMS's website at: https://www.cms.gov/

    Upper Payment Limit (UPL) Calculation Overview
      Trend Factors by State Fiscal Year
      State Fiscal Year Inflation Trend Utilization Trend
      2019 (Pending CMS Approval) 5.0% -4.5%
      2018 2.9% -1.1%
      2017 3.9% 4.1%

    Outpatient Upper Payment Limit (UPL) Payments Made to Private Facilities