Definitions.

  1. Law
  2. Utah Code
  3. Utah Health Code
  4. Nurse Home Visiting Pay-for-Success Program
  5. General Provisions
  6. Definitions.

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Affected by 63I-1-226 on 7/1/2026

Effective 5/14/2019
26-63-102. Definitions.
  • (1) "At-risk individual" means an individual who qualifies for coverage under:
    • (a) the Children's Health Insurance Program created in Chapter 40, Utah Children's Health Insurance Act;
    • (b) the Medicaid program, as defined in Section 26-18-2;
    • (c) the Special Supplemental Nutrition Program for Women, Infants, and Children, established in 42 U.S.C. Sec. 1786; or
    • (d) Temporary Assistance for Needy Families, described in 42 U.S.C. Sec. 601 et seq.
  • (2) "Eligible participant" means an individual who:
    • (a) is referred to the program as an at-risk individual; and
    • (b) is appropriate for participation in the program as determined by a service provider.
  • (3) "Fiscal intermediary entity" means an organization that has the necessary experience to coordinate the funding and management of a pay-for-success contract.
  • (4) "Independent evaluator" means a person that is contracted to conduct an annual evaluation of the performance outcome measures specified in the pay-for-success contract.
  • (5) "Investor" means a private person that:
    • (a) provides an up-front cash payment to fund the program; and
    • (b) receives a success payment if the performance outcome measures are satisfied.
  • (6) "Pay-for-success contract" means a contract entered into by the department in accordance with Section 26-63-301.
  • (7) "Performance outcome measure" means a measurable outcome established by the department under Section 26-63-302.
  • (8) "Program" means the Nurse Home Visiting Pay-for-Success Program created in Section 26-63-201.
  • (9) "Programmatic intermediary entity" means a private, not-for-profit organization that enters into a pay-for-success contract with the department to operate the program.
  • (10) "Qualified nurse" means an individual who is licensed to practice as a registered nurse in the state.
  • (11) "Restricted account" means the Nurse Home Visiting Restricted Account created in Section 26-63-601.
  • (12) "Service provider" means a person that receives a contract from the programmatic intermediary entity to provide the services described in Section 26-63-203.
  • (13) "Success payment" means the amount paid by the department to an investor from the restricted account in accordance with the terms of a pay-for-success contract.




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