Medicaid hospital adjustment under accountable care organization rates.

1. Law
2. Utah Code
3. Utah Health Code
4. Hospital Provider Assessment Act
5. Hospital Provider Assessment
6. Medicaid hospital adjustment under accountable care organization rates.

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

Effective 5/14/2019
26-36d-205. Medicaid hospital adjustment under accountable care organization rates.

• (1) $154,000,000 to be allocated toward the hospital inpatient directed payments for the Medicaid eligibility categories covered in Utah before January 1, 2019; and

• (2) an amount equal to the difference between payments made to hospitals by accountable care organizations for the Medicaid eligibility categories covered in Utah before January 1, 2019, based on submitted encounter data and the maximum amount that could be paid for those services using Medicare payment principles to be used for directed payments to hospitals for outpatient services.

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