Utah Administrative Code (Current through November 1, 2019) |
R414. Health, Health Care Financing, Coverage and Reimbursement Policy |
R414-140. Choice of Health Care Delivery Program |
R414-140-5. Service Coverage
Latest version.
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(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.