Terms Used In Utah Code > Title 56 > Chapter 1 - General Provisions

• Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
• Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
• Arrest: Taking physical custody of a person by lawful authority.
• Assessment: means the inpatient hospital assessment established by this part. See Utah Code 26B-3-501
• Assessment: means the Medicaid expansion hospital assessment established by this part. See Utah Code 26B-3-601
• Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
• Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
• Board: means the Drug Utilization Review Board created in Section 26B-3-302. See Utah Code 26B-3-301
• Certified program: means a nursing care facility program with Medicaid certification. See Utah Code 26B-3-301
• CMS: means the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services. See Utah Code 26B-3-101
• 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
• Compendia: means resources widely accepted by the medical profession in the efficacious use of drugs, including "American Hospital Formulary Service Drug Information" "U. See Utah Code 26B-3-301
• Counseling: means the activities conducted by a pharmacist to inform Medicaid recipients about the proper use of drugs, as required by the board under this part. See Utah Code 26B-3-301
• Criteria: means those predetermined and explicitly accepted elements used to measure drug use on an ongoing basis in order to determine if the use is appropriate, medically necessary, and not likely to result in adverse medical outcomes. See Utah Code 26B-3-301
• Deed: The legal instrument used to transfer title in real property from one person to another.
• Dependent: A person dependent for support upon another.
• Discharges: means the number of total hospital discharges reported on:

  (a)	Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10 Medicare cost report for the applicable assessment year; or

  (b)

  a similar report adopted by the department by administrative rule, if the report under Subsection (3)(a) is no longer available. See Utah Code 26B-3-501 Discharges: means the number of total hospital discharges reported on: (a)  Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10 Medicare cost report for the applicable assessment year; or (b)  a similar report adopted by the department by administrative rule, if the report under Subsection (3)(a) is no longer available. See Utah Code 26B-3-601 Division: means the Division of Integrated Healthcare within the department, established under Section 26B-3-102. See Utah Code 26B-3-101 Division: means the Division of Integrated Healthcare within the department. See Utah Code 26B-3-501 Division: means the Division of Integrated Healthcare within the department. See Utah Code 26B-3-601 DUR: means the program designed to measure and assess, on a retrospective and prospective basis, the proper use of outpatient drugs in the Medicaid program. See Utah Code 26B-3-301 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 Executive director: means the executive director of the department appointed under Section 26B-1-203. See Utah Code 26B-1-102 Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller. Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006. Fraud: Intentional deception resulting in injury to another. Health coverage improvement program: means the health coverage improvement program described in Section 26B-3-207. See Utah Code 26B-3-501 Highway: includes :Utah Code 68-3-12.5 Hospital share: means the hospital share described in Section 26B-3-505. See Utah Code 26B-3-501 Hospital share: means the hospital share described in Section 26B-3-605. See Utah Code 26B-3-601 Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC Intellectual disability: means a significant, subaverage general intellectual functioning that:Utah Code 68-3-12.5 Intermediate care facility for people with an intellectual disability: means an intermediate care facility for the mentally retarded, as defined in Title XIX of the Social Security Act. See Utah Code 68-3-12.5 Intervention: means a form of communication utilized by the board with a prescriber or pharmacist to inform about or influence prescribing or dispensing practices. See Utah Code 26B-3-301 Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity. Medicaid accountable care organization: means a managed care organization, as defined in 42 C. See Utah Code 26B-3-501 Medicaid certification: means the right of a nursing care facility, as a provider of a nursing care facility program, to receive Medicaid reimbursement for a specified number of beds within the facility. See Utah Code 26B-3-301 Medicaid Expansion Fund: means the Medicaid Expansion Fund created in Section 26B-1-315. See Utah Code 26B-3-601 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 Medicaid waiver expansion: means a Medicaid expansion in accordance with Section 26B-3-113 or 26B-3-210. See Utah Code 26B-3-501 Medical assistance: means services furnished or payments made to or on behalf of a member. See Utah Code 26B-3-101 Medicare cost report: means CMS-2552-10, the cost report for electronic filing of hospitals. See Utah Code 26B-3-501 Medicare cost report: means CMS-2552-10, the cost report for electronic filing of hospitals. See Utah Code 26B-3-601 member: means an individual whom the department has determined to be eligible for assistance under the Medicaid program. See Utah Code 26B-3-101 Month: means a calendar month, unless otherwise expressed. See Utah Code 68-3-12.5 Mortgagor: The person who pledges property to a creditor as collateral for a loan and who receives the money. Non-state government hospital: means a hospital owned by a non-state government entity. See Utah Code 26B-3-501 Nursing care facility: means the following facilities licensed by the department under 2: (i)  skilled nursing facilities; (ii)  intermediate care facilities; and (iii)  an intermediate care facility for people with an intellectual disability. See Utah Code 26B-3-301 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 Nursing care facility program: means the personnel, licenses, services, contracts, and all other requirements that shall be met for a nursing care facility to be eligible for Medicaid certification under this part and division rule. See Utah Code 26B-3-301 Patient day: means each calendar day in which an individual patient is admitted to the nursing care facility during a calendar month, even if on a temporary leave of absence from the facility. See Utah Code 26B-3-401 Personal property: includes :Utah Code 68-3-12.5 Personal property: All property that is not real property. Pharmacist: means a person licensed in this state to engage in the practice of pharmacy under Title 58, Chapter 17b, Pharmacy Practice Act. See Utah Code 26B-3-301 Physical facility: means the buildings or other physical structures where a nursing care facility program is operated. See Utah Code 26B-3-301 Physician: means a person licensed in this state to practice medicine and surgery under Section 58-67-301 or osteopathic medicine under Section 58-68-301. See Utah Code 26B-3-301 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 Private hospital: means : (i)  a privately owned general acute hospital operating in the state as defined in Section 26B-2-201; or (ii)  a privately owned specialty hospital operating in the state, including a privately owned hospital for which inpatient admissions are predominantly: (A)  rehabilitation; (B)  psychiatric; (C)  chemical dependency; or (D)  long-term acute care services. See Utah Code 26B-3-601 real property: includes :Utah Code 68-3-12.5 Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land. Recipient: means a person who has received medical assistance under the Medicaid program. See Utah Code 26B-3-101 Road: includes :Utah Code 68-3-12.5 Rural county: means a county with a population of less than 50,000, as determined by: (a)  the most recent official census or census estimate of the United States Bureau of the Census; or (b)  the most recent population estimate for the county from the Utah Population Committee, if a population figure for the county is not available under Subsection (20)(a). See Utah Code 26B-3-301 Standards: means the acceptable range of deviation from the criteria that reflects local medical practice and that is tested on the Medicaid recipient database. See Utah Code 26B-3-301 State teaching hospital: means a state owned teaching hospital that is part of an institution of higher education. See Utah Code 26B-3-501 SURS: means the Surveillance Utilization Review System of the Medicaid program. See Utah Code 26B-3-301 Town: includes , depending on population, a metro township as defined in Section 10-3c-102. See Utah Code 68-3-12.5 underutilization: means the use of a drug in such quantities that the desired therapeutic goal is not achieved. See Utah Code 26B-3-301 Upper payment limit gap: means the difference between the private hospital outpatient upper payment limit and the private hospital Medicaid outpatient payments, as determined in accordance with 42 C. See Utah Code 26B-3-501 Urban county: means a county that is not a rural county. See Utah Code 26B-3-301 Writing: includes :Utah Code 68-3-12.5