Utah Administrative Code (Current through November 1, 2019) |
R414. Health, Health Care Financing, Coverage and Reimbursement Policy |
R414-14A. Hospice Care |
R414-14A-2. Definitions
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The definitions in Rule R414-1 apply to this rule. In addition:
(1) "Attending physician" means a physician who:
(a) is a doctor of medicine or osteopathy; and
(b) is identified by the client at the time he or she elects to receive hospice care as having the most significant role in the determination and delivery of the client's medical care.
(2) "Cap period" means the 12-month period ending October 31 used in the application of the cap on reimbursement for inpatient hospice care as described in Subsection R414-14A-23(5).
(3) "Employee" means an employee of the hospice provider or, if the hospice provider is a subdivision of an agency or organization, an employee of the agency or organization who is appropriately trained and assigned to the hospice unit. "Employee" includes a volunteer under the direction of the hospice provider.
(4) "Hospice care" means care provided to terminally ill clients by a hospice provider.
(5) "Hospice provider" means a provider that is licensed under the provisions of Rule R432-750 and is primarily engaged in providing care to terminally ill individuals.
(6) "Physician" means a doctor of medicine or osteopathy who is licensed by the state of Utah.
(7) "Representative" means an individual who has been authorized under state law to make health care decisions, including initiating, continuing, refusing, or terminating medical treatments for a client who cannot make health care decisions.
(8) "Terminally ill" means the client has a medical prognosis to live no more than six months if the illness runs its normal course.
(9) "Adult" means a hospice client who is at least 21 years of age.