R414-140-5. Service Coverage  


Latest version.
  • (1) Health plans shall provide all medically necessary services covered under the State Medicaid Plan except:

    (a) dental services;

    (b) chiropractic services;

    (c) long term care services in skilled nursing facilities longer than 30 days with the exception of clients enrolled in the Medicaid Long Term Care Managed Care Program;

    (d) psychological services;

    (e) services covered under the Prepaid Mental Health Plan;

    (f) substance abuse treatment services; and

    (g) transportation services;

    (2) Medicaid enrollees who are covered under the Non-Traditional Medicaid Plan are limited to the scope of services as defined in the 1115 Demonstration for the Primary Care Network of Utah.