(1) "Accountable care organization" means a managed care organization, as defined in 42 C.F.R. Sec. 438, that contracts with the department under the provisions of Section 26-18-405.
(2) "Assessment" means the Medicaid hospital provider assessment established by this chapter.
(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 Health Care Financing of the department.
(5) "Hospital": (a) means a privately owned: (i) general acute hospital operating in the state as defined in Section 26-21-2; 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 62A-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.
(a) means a privately owned: (i) general acute hospital operating in the state as defined in Section 26-21-2; 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
(i) general acute hospital operating in the state as defined in Section 26-21-2; 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
(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 62A-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.
(i) a human services program, as defined in Section 62A-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.
(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.
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