Utah Administrative Code (Current through November 1, 2019) |
R414. Health, Health Care Financing, Coverage and Reimbursement Policy |
R414-504. Nursing Facility Payments |
R414-504-1. Introduction
Latest version.
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(1) This rule adopts a case mix or severity based payment system, commonly referred to as RUGS (Resource Utilization Group System) for nursing facilities that are not ICF/MRs. This system reimburses facilities based on the case mix index of the facility. It also establishes rates for ICF/MR facilities.
(2) This rule is authorized by Utah Code sections 26-1-5, 26-18-3, and 26-35a.