Utah Admin. Code R414-526-2 - Definitions
For purposes of this rule, the following definitions apply.
(1) "Directed payment" means a
payment arrangement authorized by CMS that permits the department to direct
specific payments made by a managed care plan to providers.
(2) "Improvement margin" means a percentage
determined by the department after consulting with hospitals and in accordance
with evidence-based guidelines and national benchmarks.
(3) "Rural hospital" means a general acute
hospital in a rural setting, except for a specialty hospital.
(4) "Specialty hospital" means a specialty
hospital in an urban or rural setting as defined in Section
26B-3-701.
(5) "Urban hospital" means a
diagnosis-related group (DRG)-reimbursed hospital in an urban setting, except
for a specialty hospital.
Notes
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