Benefits at a Glance
Utah Molina Medicaid Integrated Care (UMIC)
For a full list of benefits information, please read your Member Handbook or call Member Services at (888) 483-0760.
Covered Services are marked with "X."
Services that need approval in advance (prior authorization) are marked "+."
Services You May Need | Traditional Utah Medicaid | Non-Traditional Utah Medicaid |
---|---|---|
Abortion | X + | X + |
Diabetes education | X | X |
Medical supplies/equipment | X | X |
Durable Medical Equipment (DME) | X + | Exclusions apply |
End state renal disease - dialysis | X | X |
Eye Exam | X - limited to one exam every 12 months | X - limited to one exam every 12 months |
Eye Glasses | X - covered only for those eligible for EPSDT services | |
Home health services | X + | X + (Speech and language services are excluded) |
Hospice services (up to 30 days) | X + | X + |
Skilled nursing facility, intermediate care facility, long-term acute care (up to 30 days) | X + | X + |
Family planning | X | X (some exclusions apply) |
Lab/x-ray | X | X |
Inpatient hospital services | X | X |
Outpatient hospital services | X | X |
Emergency and Urgent Care | X - must use a network provider for urgent care | X - must use a network provider for urgent care |
Physician services | X | X |
Podiatry services | X - limited benefits for adults | X - limited benefit for adults |
Preventative services (mammograms, Pap smears, prostate exams) | X | X |
Physical therapy (PT)/occupational therapy (OT) | X | X |
Private duty nursing | X + | X+ |
Speech and hearing Services | EPSDT or Early Periodic Screening, Diagnosis and Treatment (previously called CHEC) | EPSDT or Early Periodic Screening, Diagnosis and Treatment (previously called CHEC) |
Hearing aids and batteries | EPSDT or Early Periodic Screening, Diagnosis and Treatment (previously called CHEC) | EPSDT or Early Periodic Screening, Diagnosis and Treatment (previously called CHEC) |
Speech augmentative communication devices (SACDs) | X + | X + |
Sterilizations | X + | X + |
Substance use treatment | X | X |
Outpatient Behavioral Health Care (mental health) | X | X |
Personal Services | X+ | X+ |
Organ transplant | X | X |
Carved Out Services (not covered by Molina Medicaid Integrated Care) | ||
---|---|---|
Dental | Contact State Medicaid | Contact State Medicaid |
Ambulance transportation | Contact State Medicaid | Contact State Medicaid |
Nursing facility, Long Term Care (longer than 30 days) | Contact State Medicaid | Contact State Medicaid |
Non-Emergent Medical Transportation Services | Contact State Medicaid | Contact State Medicaid |
Chiropractic services | Contact State Medicaid | Contact State Medicaid |
Apnea monitors | Contact State Medicaid | Contact State Medicaid |