Closed loop referral system

(1) As used in this section: (a) "Authorized user" means a social needs care provider authorized by rules the department makes to use a closed loop referral system. (b) "Closed loop referral system" means a system that enables efficient outreach, engagement, and care coordination across cross-sector social needs care providers. (c) "Social needs care" means community-level services and supports that address health-related social needs. (d) "Social needs care provider" means a person that contracts with the department, directly or indirectly, to provide social needs care, including a: (i) government entity; (ii) healthcare organization; (iii) community organization; or (iv) social service organization. (2) The department shall implement a closed loop referral system for referrals for the delivery of social care to Medicaid-eligible individuals. (3) The department shall ensure that the closed loop referral system: (a) notifies authorized users of social needs care requests and referrals; (b) allows authorized users to securely access relevant information related to the social care needs of individuals the authorized user serves; (c) allows an individual's information to be accessed only with the individual's consent and consistent with applicable privacy laws; (d) facilitates communication between referring social needs care providers using a secure chat function; (e) sends social needs care referrals on behalf of an individual receiving social needs care; and (f) in a single record, tracks and stores: (i) the outcome of a referral; and (ii) the outcome of services delivered to an individual. (4) The department shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to implement this section, including rules to establish authorized use and authorized users of the closed loop referral system.