Utah Code § 26B-3-134

Coverage of exome sequence testing
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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:
(a) for an enrollee who:
(i) is younger than 21 years old; 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.
Renumbered and Amended by Chapter 306, 2023 General Session

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