Section R270-1-28 - Requirements for Payment(1) The office shall only pay for expenses that are directly related to the victimization.(2) The office shall only pay for services provided and billed in the usual and customary course of business.(3) The office reserves the right to audit the records of medical facilities and medical service providers who request reimbursement from the office.(4) The office may not pay: (a) interest, finance, or collection fees; or(b) any costs associated with the collection and testing of evidence unless the collection is performed by a medical service provider and tested at a licensed medical facility.(5)(a) If a victim has medical insurance or another collateral source to pay for services, the office may only pay up to the remaining portion of the bill that the victim is obligated to pay after each other collateral source has paid.(b) A reparations officer may waive the requirement in Subsection (5)(a) if:(i) it appears likely that compliance would compromise a victim's; (B) quality or continuation of care; or(C) access to services due to distance, lack or transportation or other relevant circumstances; or(ii) there are financial or practical circumstances which constitute a reasonable basis for a waiver.Utah Admin. Code R270-1-28
Adopted by Utah State Bulletin Number 2023-24, effective 12/8/2023