Utah Admin. Code R414-12-5 - Service Coverage and Limitations

(1) Medicaid covers urine drug testing if medically necessary for COT or SUD as follows:
(a) annual quantity limits of 60 presumptive tests and 16 definitive tests; and
(b) daily quantity limits of one presumptive test and one definitive test.
(2) Medicaid evaluates quantity limit exceptions on a case-by-case basis.

Notes

Utah Admin. Code R414-12-5
Amended by Utah State Bulletin Number 2021-09, effective 5/1/2021 Amended by Utah State Bulletin Number 2023-22, effective 10/30/2023

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