1. (1) "Assistant to surgery" means a physician or non-physician practitioner who actively assists the physician in charge of a case in performing a surgical procedure.
2. (2) "Family planning" means diagnosis, treatment, medications, supplies, devices, and related counseling in family planning methods to prevent or delay pregnancy.
3. (3) "Global surgical procedures" means preoperative office visits and preparation, the operation itself, local infiltration, topical or regional anesthesia when used, and normal follow-up care.
4. (4) "Non-physician practitioner" means covered member healthcare providers who practice either in collaboration with or under the supervision of a physician, including physician assistants and nurse practitioners.
5. (5) "Nurse practitioner" means an individual who performs professional services within the scope of licensing of a nurse practitioner pursuant to Title 58, Chapter 31b, Nurse Practice Act.

6. (6) "Physician services", whether furnished in the office, the member's home, a hospital, a skilled nursing facility, or elsewhere, means services performed by a Medicaid provider that meet the following standards:

   1. (a) services are performed within the scope of the physician's license as defined in Title 58, Occupations and Professions;
   2. (b) services are performed by a doctor of medicine or osteopathy, a doctor of dental surgery or of dental medicine, a doctor of podiatric medicine, a doctor of optometry, a chiropractor, or;
   3. (c) services include medical care, or any other type of remedial care furnished by licensed practitioners.

7. (7) "Physician assistant" means:

   1. (a) an individual who performs professional services within the scope of licensing in accordance with Title 58, Chapter 70a, Utah Physician Assistant Act.
8. (8) "Services" means the types of medical assistance specified in Subsection 1905(a) of the Social Security Act and interpreted in 42 CFR 440.

In addition to the definitions in Rule R414-1, the following definitions apply to this rule.

KEY: Medicaid

Date of Last Change: November 13, 2025

Notice of Continuation: October 19, 2021

Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108; 26B-3-215; 26B-3-216