Utah Admin. Code R414-140-5 - Service Coverage
(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.
Notes
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