LegalFix
Sign In

Section 25 - Coverage of exome sequence testing.

UT Code § 26-18-25 (2019) (N/A)
Copy with citation
Copy as parenthetical citation

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

(a) for an enrollee who: (i) is younger than 21 years of age; and (ii) who remains undiagnosed after exhausting all other appropriate diagnostic-related tests;

(i) is younger than 21 years of age; and

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

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

(c) that is medically necessary; and

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

Previous Section
Section 24 - Reimbursement for long-acting reversible contraception immediately following childbirth.
Next Section
Section 26 - Reimbursement for nonemergency secured behavioral health transport providers.