Utah § 49-20-419 Coverage of exome sequence testing.

Utah Statutes

§ 49-20-419 — Coverage of exome sequence testing.

Utah·Title 49 Utah State Retirement and Insurance Benefit Act·Ch. 49-20 Public Employees' Benefit and Insurance Program Act·Part 49-20-4 Insurance Program

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

(2)Beginning July 1, 2019, the program shall provide coverage for exome sequence testing:

(2)(a) for a covered individual within the state risk pool who:

(2)(a)(i) is younger than 21 years of age; 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 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) Beginning July 1, 2019, the program shall provide coverage for exome sequence testing:

(2)(a) for a covered individual within the state risk pool who:
(2)(a)(i) is younger than 21 years of age; 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 program.

Utah § 49-20-419 (Coverage of exome sequence testing.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.