(1) "At-risk individual" means an individual who qualifies for coverage under: (a) the Children's Health Insurance Program created in Chapter 40, Utah Children's Health Insurance Act; (b) the Medicaid program, as defined in Section 26-18-2; (c) the Special Supplemental Nutrition Program for Women, Infants, and Children, established in 42 U.S.C. Sec. 1786; or (d) Temporary Assistance for Needy Families, described in 42 U.S.C. Sec. 601 et seq.
(a) the Children's Health Insurance Program created in Chapter 40, Utah Children's Health Insurance Act;
(b) the Medicaid program, as defined in Section 26-18-2;
(c) the Special Supplemental Nutrition Program for Women, Infants, and Children, established in 42 U.S.C. Sec. 1786; or
(d) Temporary Assistance for Needy Families, described in 42 U.S.C. Sec. 601 et seq.
(2) "Eligible participant" means an individual who: (a) is referred to the program as an at-risk individual; and (b) is appropriate for participation in the program as determined by a service provider.
(a) is referred to the program as an at-risk individual; and
(b) is appropriate for participation in the program as determined by a service provider.
(3) "Fiscal intermediary entity" means an organization that has the necessary experience to coordinate the funding and management of a pay-for-success contract.
(4) "Independent evaluator" means a person that is contracted to conduct an annual evaluation of the performance outcome measures specified in the pay-for-success contract.
(5) "Investor" means a private person that: (a) provides an up-front cash payment to fund the program; and (b) receives a success payment if the performance outcome measures are satisfied.
(a) provides an up-front cash payment to fund the program; and
(b) receives a success payment if the performance outcome measures are satisfied.
(6) "Pay-for-success contract" means a contract entered into by the department in accordance with Section 26-63-301.
(7) "Performance outcome measure" means a measurable outcome established by the department under Section 26-63-302.
(8) "Program" means the Nurse Home Visiting Pay-for-Success Program created in Section 26-63-201.
(9) "Programmatic intermediary entity" means a private, not-for-profit organization that enters into a pay-for-success contract with the department to operate the program.
(10) "Qualified nurse" means an individual who is licensed to practice as a registered nurse in the state.
(11) "Restricted account" means the Nurse Home Visiting Restricted Account created in Section 26-63-601.
(12) "Service provider" means a person that receives a contract from the programmatic intermediary entity to provide the services described in Section 26-63-203.
(13) "Success payment" means the amount paid by the department to an investor from the restricted account in accordance with the terms of a pay-for-success contract.