Utah Administrative Code
Topic - Insurance
Title R590 - Administration
Rule R590-237 - Access to a Health Care Provider in a Rural County
Section R590-237-3 - Definitions

Universal Citation: UT Admin Code R 590-237-3

Current through Bulletin 2024-06, March 15, 2024

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.

Disclaimer: These regulations may not be the most recent version. Utah may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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