Definitions.

1. Law
2. Utah Code
3. Utah Health Code
4. Medicaid Expansion Hospital Assessment Act
5. General Provisions
6. Definitions.

Affected by 63I-1-226 on 7/1/2024

Effective 2/11/2019
26-36c-102. Definitions.

• (1) "Assessment" means the Medicaid expansion hospital assessment established by this chapter.

• (2) "CMS" means the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services.

• (3) "Discharges" means the number of total hospital discharges reported on:
  • (a) Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10 Medicare cost report for the applicable assessment year; or
  • (b) a similar report adopted by the department by administrative rule, if the report under Subsection (3)(a) is no longer available.

• (4) "Division" means the Division of Health Care Financing within the department.

• (5) "Hospital share" means the hospital share described in Section 26-36c-203.

• (6) "Medicaid 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 26-18-405.

• (7) "Medicaid Expansion Fund" means the Medicaid Expansion Fund created in Section 26-36b-208.

• (8) "Medicaid waiver expansion" means the same as that term is defined in Section 26-18-415.

• (9) "Medicare cost report" means CMS-2552-10, the cost report for electronic filing of hospitals.

• (10)
  • (a) "Non-state government hospital" means a hospital owned by a non-state government entity.
  • (b) "Non-state government hospital" does not include:
    • (i) the Utah State Hospital; or
    • (ii) a hospital owned by the federal government, including the Veterans Administration Hospital.

• (11)
  • (a) "Private hospital" means:
    • (i) a privately owned general acute hospital operating in the state as defined in Section 26-21-2; or
    • (ii) a privately owned specialty hospital operating in the state, including a privately owned hospital for which inpatient admissions are predominantly:
      • (A) rehabilitation;
      • (B) psychiatric;
      • (C) chemical dependency; or
      • (D) long-term acute care services.
  • (b) "Private hospital" does not include a facility for residential treatment as defined in Section 62A-2-101.

• (12) "Qualified Medicaid expansion" means an expansion of the Medicaid program in accordance with Subsection 26-18-3.9(5).

• (13) "State teaching hospital" means a state owned teaching hospital that is part of an institution of higher education.

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