Utah Code 26B-3-610. Hospital reimbursement
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(1) To the extent allowed by law, the department shall in any contract with a Medicaid accountable care organization to implement Medicaid expansion include a requirement that the Medicaid accountable care organization reimburse hospitals in the Medicaid accountable care organization’s provider network at no less than the Medicaid fee-for-service rate.
Terms Used In Utah Code 26B-3-610
- Contract: A legal written agreement that becomes binding when signed.
- Medicaid accountable care organization: means a managed care organization, as defined in 42 C. See Utah Code 26B-3-601
(2) Where the department implements Medicaid expansion as a fee-for-service program, the department shall reimburse hospitals at no less than the Medicaid fee-for-service rate.
(3) Nothing in this section prohibits the department or a Medicaid accountable care organization from paying a rate that exceeds the Medicaid fee-for-service rate.