1. (1)(a) If a hospital's status changes during any given year and it no longer falls under the definition of a hospital that is subject to the assessment outlined in Section 26B-3-507, the hospital must submit in writing to DIH a notice of the status change and the effective date of that change. The notice must be mailed to the correct address, as follows, and is only effective upon receipt by the Reimbursement Unit:

   1. (b) DIH may identify a hospital that has changed status and will not include that hospital in the subsequent quarterly assessment.

   Via United States Postal Service:

   Utah Department of Health and Human Services

   DIH, OFS

   Attn: Reimbursement Unit

   P.O. Box 143102

   Salt Lake City, UT 84114-3102

   Via United Parcel Service, Federal Express, and similar:

   Utah Department of Health and Human Services

   DIH, OFS

   Attn: Reimbursement Unit

   288 North 1460 West

   Salt Lake City, UT 84116-3231

2. (2) The following provisions apply for any period in which a hospital is no longer subject to the assessment and notice has been given under Subsection (1)(a), or when the hospital is identified by DIH under Subsection (1)(b):

   1. (a) DIH shall require payment of the assessment from that hospital for the full quarter in which the status change occurred and the hospital will receive full payment, as outlined in Section 26B-3-511, for the applicable quarter; and
   2. (b) the hospital is exempt from future assessment and not eligible for payment under this rule.
3. (3) For state fiscal year 2020 and subsequent years, before the beginning of each state fiscal year, DIH shall determine whether a new provider is subject to the assessment. DIH will add a newly identified provider prospectively, beginning that new state fiscal year. For example, a May 2019 evaluation that identifies a new provider will result in that new provider being added July 2019.

KEY: Medicaid

Date of Last Change: July 11, 2023

Notice of Continuation: October 31, 2022

Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26-18-3; 26B-3