Utah Code § 26B-3-510
Hospital reimbursement
Utah · Utah Code Title 26B — Utah Health and Human Services Code · Status: effective
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- Citation
- Utah Code § 26B-3-510, Hospital reimbursement, Utah, version 1 as recorded 2026-10-03, yourstate.us, https://yourstate.us/provision/2332155
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Full text
(1) If the health coverage improvement program, the enhancement waiver program, or the Medicaid waiver expansion is implemented by contracting with a Medicaid accountable care organization, the department shall, to the extent allowed by law, include, in a contract to provide benefits under the health coverage improvement program, the enhancement waiver program, or the Medicaid waiver expansion, a requirement that the Medicaid accountable care organization reimburse hospitals in the accountable care organization's provider network at no less than the Medicaid fee-for-service rate.
(2) If the health coverage improvement program, the enhancement waiver program, or the Medicaid waiver expansion is implemented by the department 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 a Medicaid accountable care organization from paying a rate that exceeds the Medicaid fee-for-service rate.