26B-3-310. Purpose -- Medicaid certification of nursing care facilities.
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Effective 5/3/2023
26B-3-310. Purpose -- Medicaid certification of nursing care facilities.
(1)The Legislature finds:
(a)that an oversupply of nursing care facilities in the state adversely affects the state Medicaid program and the health of the people in the state;
(b)it is in the best interest of the state to prohibit nursing care facilities from receiving Medicaid certification, except as provided by Sections 26B-3-311 through 26B-3-313 ; and
(c)it is in the best interest of the state to encourage aging nursing care facilities with Medicaid certification to renovate the nursing care facilities' physical facilities so that the quality of life and clinical services for Medicaid residents are preserved.
(2)Medicaid reimbursement of nursing care facility programs is limited to:
(a)the number of nursing care facility programs with Medicaid certification as of May 9, 2016; and
(b)additional nursing care facility programs approved for Medicaid certification under the provisions of Subsections 26B-3-311(5) and
(7).
(3)The division may not:
(a)except as authorized by Section 26B-3-311 :
(i)process initial applications for Medicaid certification or execute provider agreements with nursing care facility programs; or
(ii)reinstate Medicaid certification for a nursing care facility whose certification expired or was terminated by action of the federal or state government; or
(b)execute a Medicaid provider agreement with a certified program that moves to a different physical facility, except as authorized by Subsection 26B-3-311(3) .
(4)Notwithstanding Section 26B-3-311 , beginning May 4, 2021, the division may not approve a new or additional bed in an intermediate care facility for individuals with an intellectual disability for Medicaid certification, unless certification of the bed by the division does not increase the total number in the state of Medicaid-certified beds in intermediate care facilities for individuals with an intellectual disability.
Renumbered and Amended by Chapter 306 , 2023 General Session