26B-3-405.  Adjustment to nursing care facility Medicaid reimbursement rates.
     If federal law or regulation prohibits the money in the Nursing Care Facilities Provider Assessment Fund from being used in the manner set forth in Subsection 26B-1-332(1)(b), the rates paid to nursing care facilities for providing services pursuant to the Medicaid program shall be changed:

(1)  except as otherwise provided in Subsection (2), to the rates paid to nursing care facilities on June 30, 2004; or

Terms Used In Utah Code 26B-3-405

  • Medicaid program: means the state program for medical assistance for persons who are eligible under the state plan adopted pursuant to Title XIX of the federal Social Security Act. See Utah Code 26B-3-101
  • Nursing care facility: means :
(i) a nursing care facility as defined in Section 26B-2-201;
(ii) beginning January 1, 2006, a designated swing bed in:
(A) a general acute hospital as defined in Section 26B-2-201; and
(B) a critical access hospital which meets the criteria of 42 U. See Utah Code 26B-3-401
(2)  if the Legislature or the department has on or after July 1, 2004, changed the rates paid to facilities through a manner other than the use of expenditures from the Nursing Care Facilities Provider Assessment Fund, to the rates provided for by the Legislature or the department.

Renumbered and Amended by Chapter 306, 2023 General Session