R523-18-9
R523-18-9. MCOT Funding Structure
Cite as Utah Admin. Code R523-18-9
(1) Table 1 describes a county's portion of funding risk with the state based on a county's classification.
(2) Table 2 describes how a county's portion of funding risk with the state will increase over time.
(3) A county shall leverage Medicaid and private insurance reimbursements and other funding to cover its portion of the funding risk.
TABLE 1
Funding Coverage
County Classification
State Responsible Share of Total Operational Cost
Risk Corridor
1st
60%
40%
2nd a*
70%
30%
2nd b**
75%
25%
3rd-6th
80%
20%
A county's classification is determined in accordance with Section 17-50-501. Second class has been divided into two subcategories for this rule:
a* class counties are Utah County and Davis County
b ** class counties are Weber County and Washington County
TABLE 2
Risk Corridor Coverage
Year of Program Operation
State Responsible Share of Risk Corridor
County Responsible Share of Risk Corridor
1
75%
25%
2
50 %
50%
3
25%
75%
4
0%
100%