Utah § 26B-3-134 Coverage of exome sequence testing.

Utah Statutes

§ 26B-3-134 — Coverage of exome sequence testing.

Utah·Title 26B Utah Health and Human Services Code·Ch. 26B-3 Health Care - Administration and Assistance·Part 26B-3-1 Health Care Assistance

(1)As used in this section, "exome sequence testing" means a genomic technique for sequencing the genome of an individual for diagnostic purposes.

(2)The Medicaid program shall reimburse for exome sequence testing:

(2)(a) for an enrollee who:

(2)(a)(i) is younger than 21 years old; and

(2)(a)(ii) who remains undiagnosed after exhausting all other appropriate diagnostic-related tests;

(2)(b) performed by a nationally recognized provider with significant experience in exome sequence testing;

(2)(c) that is medically necessary; and

(2)(d) at a rate set by the Medicaid program.

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(1) As used in this section, "exome sequence testing" means a genomic technique for sequencing the genome of an individual for diagnostic purposes.
(2) The Medicaid program shall reimburse for exome sequence testing:

(2)(a) for an enrollee who:
(2)(a)(i) is younger than 21 years old; and
(2)(a)(ii) who remains undiagnosed after exhausting all other appropriate diagnostic-related tests;
(2)(b) performed by a nationally recognized provider with significant experience in exome sequence testing;
(2)(c) that is medically necessary; and
(2)(d) at a rate set by the Medicaid program.

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