26B-3-115.  Contracts for provision of medical services — Federal provisions modifying department rules — Compliance with Social Security Act.

(1)  The department may contract with other public or private agencies to purchase or provide medical services in connection with the programs of the division. Where these programs are used by other government entities, contracts shall provide that other government entities, in compliance with state and federal law regarding intergovernmental transfers, transfer the state matching funds to the department in amounts sufficient to satisfy needs of the specified program.

Terms Used In Utah Code 26B-3-115

  • Contract: A legal written agreement that becomes binding when signed.
  • Division: means the Division of Integrated Healthcare within the department, established under Section 26B-3-102. See Utah Code 26B-3-101
  • Medical assistance: means services furnished or payments made to or on behalf of a member. See Utah Code 26B-3-101
  • State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
(2)  Contract terms shall include provisions for maintenance, administration, and service costs.

(3)  If a federal legislative or executive provision requires modifications or revisions in an eligibility factor established under this chapter as a condition for participation in medical assistance, the department may modify or change its rules as necessary to qualify for participation.

(4)  The provisions of this section do not apply to department rules governing abortion.

(5)  The department shall comply with all pertinent requirements of the Social Security Act and all orders, rules, and regulations adopted thereunder when required as a condition of participation in benefits under the Social Security Act.

Renumbered and Amended by Chapter 306, 2023 General Session