Utah Admin. Code R414-2A-4 - Hospital Admission Requirements

(1) An inpatient hospital must meet Medicare participation requirements.

(2) Each hospital that provides inpatient services must have a utilization review plan as described in 42 CFR 482.30.

(3) Each hospital that accepts a Medicaid member for treatment is responsible to verify that the member receives all medically necessary services from Medicaid providers.

(4) Each hospital is financially responsible for any services a member receives from a non-Medicaid provider.

(5) Inpatient hospital intensive physical rehabilitation participation is subject to 42 CFR 482.56 and 42 CFR 412, Subpart B and Subpart P.

Notes

Utah Admin. Code R414-2A-4

Amended by Utah State Bulletin Number 2018-1, effective 12/12/2017 Amended by Utah State Bulletin Number 2019-20, effective 9/17/2019