26B-3-701. Definitions.

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A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Effective 5/3/2023

As used in this part:

(1)"Accountable care organization" means a managed care organization, as defined in 42 C.F.R. Sec. 438, that contracts with the department under the provisions of Section 26B-3-202 .

(2)"Assessment" means the Medicaid hospital provider assessment established by this part.

(3)"Discharges" means the number of total hospital discharges reported on Worksheet S-3 Part I, column 15, lines 12, 14, and 14.01 of the 2552-96 Medicare Cost Report or on Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10 Medicare Cost Report for the applicable assessment year.

(4)"Division" means the Division of Integrated Healthcare of the department.

(5)"Hospital":

(a)means a privately owned:

(i)general acute hospital operating in the state as defined in Section 26B-2-201 ; and

(ii)specialty hospital operating in the state, which shall include a privately owned hospital whose inpatient admissions are predominantly:

(A)rehabilitation;

(B)psychiatric;

(C)chemical dependency; or

(D)long-term acute care services; and

(b)does not include:

(i)a human services program, as defined in Section 26B-2-101 ;

(ii)a hospital owned by the federal government, including the Veterans Administration Hospital; or

(iii)a hospital that is owned by the state government, a state agency, or a political subdivision of the state, including:

(A)a state-owned teaching hospital; and

(B)the Utah State Hospital.

(6)"Medicare Cost Report" means CMS-2552-96 or CMS-2552-10, the cost report for electronic filing of hospitals.

(7)"State plan amendment" means a change or update to the state Medicaid plan.

Renumbered and Amended by Chapter 306 , 2023 General Session

Sunset by Section 63I-1-226