R414-516-2. Definitions

  The definitions in Rule R414-505 apply to this rule. In addition:

  (1) "American Health Care Association (AHCA)" means the national association of long term and post-acute providers for quality care and services for frail, elderly, and disabled Americans.

  (2) "Certification And Survey Provider Enhanced Reports (CASPER)" means a quality measure report used by the Centers for Medicare and Medicaid Services (CMS) to compare data between nursing facility programs.

  (3) "Certified Nurse Aid (CNA)" means any person who completes a nurse aid training and competency evaluation program (NATCEP) and passes the state certification examination.

  (4) "Division" means the Division of Medicaid and Health Financing (DMHF).

  (5) "Eden Certification" means a program achieving Eden Milestones as approved by the Eden Alternative organization.

  (6) "Fair Rental Value (FRV)" means the definition provided in Attachment 4.19-D of the Medicaid State Plan.

  (7) "Five-Star Quality Rating System" means a rating system developed by CMS to help consumers, their families, and other caregivers compare health inspection reports, staffing, and quality measures (QM) between nursing programs.

  (8) "Nurse" means an individual who is licensed under Title 58, Chapter 31b as:

  (a) a licensed practical nurse (LPN);

  (b) a registered nurse (RN);

  (c) an advanced practice registered nurse (APRN); or

  (d) a nurse practitioner (NP).

  (9) "Program" means each distinct NF program participating in the NF NSGO UPL program.

  (10) "Qualified Activity Professional" means:

  (a) a qualified therapeutic recreation specialist or an activities professional who is licensed or registered in the state of Utah;

  (b) an activities professional who is recognized by an accrediting body;

  (c) a person who has two years of experience in a social or recreational program within the last five years, one year of which was full-time in a therapeutic activities program;

  (d) an occupational therapist (OT); or

  (e) an occupational therapy assistant (OTA).

  (11) "Qualified Clinician" means:

  (a) a physician;

  (b) a surgeon;

  (c) a chiropractic physician;

  (d) a physician assistant;

  (e) a physical therapist;

  (f) a physical therapist assistant;

  (g) an OT; or

  (h) an OTA.

  (12) "Resident" means a Utah Medicaid eligible individual who resides in and receives nursing facility services in a Utah Medicaid-certified nursing facility.