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Utah · Through 2026 General Session

Utah Code § 26B-3-510: Hospital reimbursement.

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Where this section sits in the code
  1. Title 26B Utah Health and Human Services Code
  2. Chapter 26B-3 Health Care - Administration and Assistance
  3. Part 26B-3-5 Inpatient Hospital Assessment

(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.

Collected 2026-09-03T11:34:33Z. Source file · JSON

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