Utah Admin. Code R590-237-3 - Definitions
Terms used in this rule are defined in Sections 31A-1-301 and 31A-45-102. Additional terms are defined as follows:
(1)
(a) "Board of directors" means a local board
of directors for an independent hospital that is directly responsible for the
daily policy and financial decisions of the hospital.
(b) A board of directors does not include a
corporate board of directors for an entity that owns an independent
hospital.
(2)
(a) "Local practice location" means a
provider's office where services are provided.
(b) A local practice location is:
(i) permanently located within a county with
a population density of:
(A) less than 100
people per square mile before December 31, 2000; or
(B) less than 30 people per square mile;
and
(ii) within 30 miles
of paved roads of:
(A) the place where an
enrollee lives or resides; or
(B)
the location of an independent hospital or federally qualified health center
where an enrollee may receive health care
services.
(3) "Policy and financial decision" means a
day-to-day decision made by a board of directors regarding an independent
hospital's policy and financial solvency.
(4) "Provider" means a person who:
(a) furnishes health care directly to an
enrollee; and
(b) is licensed or
authorized to furnish health care.
(5) "Referral" means:
(a) a request by a health care provider for
an item, service, test, or procedure to be performed by another health care
provider;
(b) a request by a
physician for a consultation with another physician; or
(c) a request to establish a plan of care by
a physician.
(6) "Rural
county" means a county with a population density of less than 100 people per
square mile.
Notes
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