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Utah Code § 26B-3-134

Coverage of exome sequence testing

Utah · Utah Code Title 26B — Utah Health and Human Services Code · Status: effective

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Utah Code § 26B-3-134, Coverage of exome sequence testing, Utah, version 1 as recorded 2026-10-03, yourstate.us, https://yourstate.us/provision/2332077
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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.