26B-3-503.  Assessment.

(1)  An assessment is imposed on each private hospital:

Terms Used In Utah Code 26B-3-503

  • Assessment: means the inpatient hospital assessment established by this part. See Utah Code 26B-3-501
  • CMS: means the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services. See Utah Code 26B-3-501
  • Enhancement waiver program: means the program established by the Primary Care Network enhancement waiver program described in Section 26B-3-211. See Utah Code 26B-3-501
  • Health coverage improvement program: means the health coverage improvement program described in Section 26B-3-207. See Utah Code 26B-3-501
  • Medicaid waiver expansion: means a Medicaid expansion in accordance with Section 26B-3-113 or 26B-3-210. See Utah Code 26B-3-501
  • Private hospital: means :
(i) a general acute hospital, as defined in Section 26B-2-201, that is privately owned and operating in the state; and
(ii) a privately owned specialty hospital operating in the state, including a privately owned hospital whose inpatient admissions are predominantly for:
(A) rehabilitation;
(B) psychiatric care;
(C) chemical dependency services; or
(D) long-term acute care services. See Utah Code 26B-3-501
(a)  beginning upon the later of CMS approval of:

(i)  the health coverage improvement program waiver under Section 26B-3-207; and

(ii)  the assessment under this part;

(b)  in the amount designated in Sections 26B-3-506 and 26B-3-507; and

(c)  in accordance with Section 26B-3-504.

(2)  Subject to Section 26B-3-505, the assessment imposed by this part is due and payable on a quarterly basis, after payment of the outpatient upper payment limit supplemental payments under Section 26B-3-511 have been paid.

(3)  The first quarterly payment is not due until at least three months after the earlier of the effective dates of the coverage provided through:

(a)  the health coverage improvement program;

(b)  the enhancement waiver program; or

(c)  the Medicaid waiver expansion.

Renumbered and Amended by Chapter 306, 2023 General Session