§ 26-10b-107. Community education and outreach contracts. (Effective 5/13/2014)

(1) The department may, as funding permits, contract with community based organizations for the purpose of developing culturally and linguistically appropriate programs and services for low income and medically underserved populations to accomplish one or more of the following:

(a) to educate individuals:

(i) to use private and public health care coverage programs, products, services, and resources in a timely, effective, and responsible manner;

(ii) to pursue preventive health care, health screenings, and disease management; and

(iii) to locate health care programs and services;

(b) to assist individuals to develop:

(i) personal health management;

(ii) self-sufficiency in daily care; and

(iii) life and disease management skills;

(c) to support translation of health materials and information;

(d) to facilitate an individual's access to primary care and providers, including mental health services; and

(e) to measure and report empirical results of the pilot project.

(2) When awarding a contract for community based services under Subsection (1), the department shall consider the extent to which the applicant:

(a) demonstrates that the area or a population group to be served under the application is a medically underserved population and that the services will be located to provide assistance to the greatest number of individuals residing in the area or included in the population group;

(b) utilizes other sources of funding, including private funding, to provide the services described in Subsection (1);

(c) demonstrates the ability and expertise to serve medically underserved populations, including individuals with limited English-speaking ability, single heads of households, the elderly, individuals with low income, and individuals with a chronic disease;

(d) meets other criteria determined by the department; and

(e) demonstrates the ability to empirically measure and report the results of all contract supported activities.

(3) The department may only award a contract under Subsection (1):

(a) in accordance with Title 63G, Chapter 6a, Utah Procurement Code;

(b) that contains the information described in Section 26-10b-103, relating to grants; and

(c) that complies with Subsections (4) and (5).

(4) An applicant under this chapter shall demonstrate to the department that the applicant will not deny services to a person because of the person's inability to pay for the services.

(5) Subsection (4) does not preclude an applicant from seeking payment from the person receiving services, a third party, or a government agency if:

(a) the applicant is authorized to charge for the services; and

(b) the person, third party, or government agency is under legal obligation to pay for the services.

(6) The department shall maximize the use of federal matching funds received for services under Subsection (1) to fund additional contracts under Subsection (1).

Enacted by Chapter 384, 2014 General Session