Utah Admin. Code R382-3-2 - Definitions
(1) "CHIP Beneficiary" means a child under 19
years of age who is determined eligible for the Children's Health Insurance
Program under Title XXI of the Social Security Act as adopted in the state
under Title 26, Chapter 40, Utah Children's Health Insurance Act.
(2) "Non-emergent medical condition" means a
medical condition that does not meet the criteria of an emergency medical
condition under
42
U.S.C. 1395dd(e) of the
Emergency Medical Treatment and Active Labor Act.
(3) "Non-emergent medical care" means medical
care provided in an emergency room for the treatment of a non-emergent medical
condition.
(4) "Non-emergent
medical care" does not mean:
(a) medical
services necessary to conduct a medical screening examination to determine if
the CHIP beneficiary has an emergent or non-emergent medical condition;
nor
(b) medical care provided to a
CHIP beneficiary who is experiencing an "emergency medical condition" as
defined by
42
U.S.C. 1395dd(e) of the
Emergency Medical Treatment and Active Labor Act.
Notes
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