R414-526-2. Definitions

For purposes of this rule, the following definitions apply. (1) "Directed payment" means a payment arrangement authorized by CMS that permits the department to direct specific payments made by a managed care plan to providers. (2) "Improvement margin" means a percentage determined by the department after consulting with hospitals and in accordance with evidence-based guidelines and national benchmarks. (3) "Rural hospital" means a general acute hospital in a rural setting, except for a specialty hospital. (4) "Specialty hospital" means a specialty hospital in an urban or rural setting as defined in Section 26B-3-701. (5) "Urban hospital" means a diagnosis-related group (DRG)-reimbursed hospital in an urban setting, except for a specialty hospital.