Long-Term Care Resources (NFs and ICFs/ID) Non-state Government Owned UPL Program

(Refer to Rule R414-505 for more details)

Download NSGO NF UPL Program Notice of Participation Form

NF NSGO Quality Improvement Program

NF Facility Cost Profile Expenditure Baseline Averages (2010 – 2015)

UPL Calculation Details

Detail Spreadsheet

IGT Certification

(Refer to Rule
R414-513 for more details)
Download IGT
Certification Form

IGT Annual Certification Form

(Refer to
UCA 26-18-21 for more details)
UCA 26-18-21(4)(d) Certification Form
– Certification is due within 30 days of the NSGE’s fiscal year
end and also if adding additional facilities.

Long-Term Care Resources (NFs and ICFs/ID)

Please click on one of the following links to be directed to specific resources available for that category:

Nursing Facilities
     - Rates

             - Historical Rates
     - FRV Calculator

     - MDS Case Mix Preview Report
     - QI Incentive Programs
     - Non-state Government Owned (NSGO)

          - UPL Program
          - Quality Improvement Program
     - Swing Bed Rates
     - Moratorium and Transfer of NF Beds
     - Additional Resources
ICF/ID
     - Rates
     - Incentive Programs
FCP and FRV Forms

Bed Assessment Rates

Contact Information

General Information

Via U.S. Post Office

Via UPS or FedEx

DHHS, Division of Integrated Healthcare

ORCA/Reimbursement

PO Box 143325

Salt Lake City, UT  84114-3325

DHHS, Division of Integrated Healthcare
ORCA/Reimbursement
288 North 1460 West
Salt Lake City, UT 84116-3231

If you are unsure about an issue, please ask questions.