1. (1) apnea monitors;
2. (2) applied behavioral analysis services;
3. (3) care in a nursing facility, intermediate care facility, or long-term acute care hospital for longer than 30 days;
4. (4) chiropractic services;
5. (5) dental services;
6. (6) early intervention services;
7. (7) mental health evaluations and psychological testing performed for physical health purposes;
8. (8) methadone maintenance treatment services;
9. (9) psychological evaluations and testing;
10. (10) school-based skills development program services;
11. (11) services performed at the Utah State Developmental Center;
12. (12) services performed at the Utah State Hospital;
13. (13) services provided by an Indian health services facility, tribal facility, or urban Indian organization facility;
14. (14) specialized mental health services;
15. (15) specific classes of drugs, including for mental health and substance use disorder treatment;
16. (16) substance use disorder services;
17. (17) targeted case management;
18. (18) transportation services;
19. (19) ultra high-cost drugs; and
20. (20) waiver services.

A health plan shall provide each medically necessary service covered under the Utah Medicaid State Plan, except:

KEY: Medicaid, enrollee, PIHP, PCCM

Date of Last Change: November 13, 2025

Notice of Continuation: June 4, 2024

Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108