Utah Admin. Code 414-12-5

Current through Bulletin No. 2024-21, November 1, 2024

Section 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.

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