Utah Admin. Code 590-237-3

Current through Bulletin 2024-19, October 1, 2024

Section 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.

Utah Admin. Code R590-237-3

Amended by Utah State Bulletin Number 2020-15, effective 7/22/2020

Amended by Utah State Bulletin Number 2023-13, effective 6/21/2023