Utah Admin. Code R414-3A-4 - Program Access Requirements

(1) An outpatient hospital must:
(a) Be licensed or formally-approved as a hospital by an officially designated authority for state-standard setting;
(b) Meet participation requirements in Medicare as a hospital;
(c) Be a hospital that accepts a Medicaid member for treatment and accepts responsibility to make sure the member receives all medically necessary services from Medicaid providers; and
(d) Accept financial responsibility for any services a member receives from a non-Medicaid provider.

Notes

Utah Admin. Code R414-3A-4
Amended by Utah State Bulletin Number 2018-7, effective 3/5/2018

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