26B-3-701.  Definitions.
     As used in this part:

(1)  “Accountable care organization” means a managed care organization, as defined in 42 C.F.R. § 438, that contracts with the department under the provisions of Section 26B-3-202.

Terms Used In Utah Code 26B-3-701

  • Assessment: means the Medicaid hospital provider assessment established by this part. See Utah Code 26B-3-701
  • Discharges: means the number of total hospital discharges reported on Worksheet S-3 Part I, column 15, lines 12, 14, and 14. See Utah Code 26B-3-701
  • Division: means the Division of Integrated Healthcare of the department. See Utah Code 26B-3-701
  • Medicare Cost Report: means CMS-2552-96 or CMS-2552-10, the cost report for electronic filing of hospitals. See Utah Code 26B-3-701
  • 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)  “Assessment” means the Medicaid hospital provider assessment established by this part.

(3)  “Discharges” means the number of total hospital discharges reported on Worksheet S-3 Part I, column 15, lines 12, 14, and 14.01 of the 2552-96 Medicare Cost Report or on Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10 Medicare Cost Report for the applicable assessment year.

(4)  “Division” means the Division of Integrated Healthcare of the department.

(5)  “Hospital”:

(a)  means a privately owned:

(i)  general acute hospital operating in the state as defined in Section 26B-2-201; and

(ii)  specialty hospital operating in the state, which shall include a privately owned hospital whose inpatient admissions are predominantly:

(A)  rehabilitation;

(B)  psychiatric;

(C)  chemical dependency; or

(D)  long-term acute care services; and

(b)  does not include:

(i)  a human services program, as defined in Section 26B-2-101;

(ii)  a hospital owned by the federal government, including the Veterans Administration Hospital; or

(iii)  a hospital that is owned by the state government, a state agency, or a political subdivision of the state, including:

(A)  a state-owned teaching hospital; and

(B)  the Utah State Hospital.

(6)  “Medicare Cost Report” means CMS-2552-96 or CMS-2552-10, the cost report for electronic filing of hospitals.

(7)  “State plan amendment” means a change or update to the state Medicaid plan.

Renumbered and Amended by Chapter 306, 2023 General Session