26B-2-227. Pilot program for managed care model with a small health care facility operating as a skilled nursing facility.
| (1) |
Notwithstanding the requirement for Medicaid certification under Sections 26B-3-310 through 26B-3-313, and Section 26B-2-222, a small health care facility with four to 16 beds, functioning as a skilled nursing facility, may be approved for licensing by the department as a pilot program in accordance with this section, and without obtaining Medicaid certification for the beds in the facility. |
Terms Used In Utah Code 26B-2-227
- City: includes , depending on population, a metro township as defined in Section 10-3c-102. See Utah Code 68-3-12.5
- Health care facility: means general acute hospitals, specialty hospitals, home health agencies, hospices, nursing care facilities, residential-assisted living facilities, birthing centers, ambulatory surgical facilities, small health care facilities, abortion clinics, a clinic that meets the definition of hospital under Section 76-7-301 or 76-71-201, facilities owned or operated by health maintenance organizations, end stage renal disease facilities, and any other health care facility which the committee designates by rule. See Utah Code 26B-2-201
- Small health care facility: means a four to 16 bed facility that provides licensed health care programs and services to residents. See Utah Code 26B-2-201
| (2) |
| (a) |
The department shall establish one pilot program with a facility that meets the qualifications under Subsection (3). |
| (b) |
The purpose of the pilot program described in Subsection (2)(a) is to study the impact of an integrated managed care model on cost and quality of care involving pre- and post-surgical services offered by a small health care facility operating as a skilled nursing facility. |
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| (3) |
A small health care facility with four to 16 beds that functions as a skilled nursing facility may apply for a license under the pilot program if the facility will:
| (a) |
be located in:
| (i) |
a county of the second class that has at least 1,800 square miles within the county; and |
| (ii) |
a city of the fifth class; and |
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| (b) |
limit a patient’s stay in the facility to no more than 10 days. |
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Renumbered and Amended by Chapter 305, 2023 General Session
