Definitions.

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

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

Effective 5/14/2019
26-36d-103. Definitions.

• (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 26-18-405.

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

• (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 Health Care Financing of the department.

• (5) "Hospital":
  • (a) means a privately owned:
    • (i) general acute hospital operating in the state as defined in Section 26-21-2; 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 62A-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.

Download our app to see the most-to-date content.