Benefits at a Glance
Utah Molina Medicaid
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 are marked "+."
Services You May Need | Traditional Utah Medicaid | Non-Traditional Utah Medicaid |
---|---|---|
Abortion | X + | X + |
Autism services | X + | Not covered |
Diabetes education | X | X |
Medical supplies/equipment | X | X |
Durable Medical Equipment (DME) | X + | Exclusions apply |
End state renal disease - dialysis | X | X |
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, longterm 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 department services | X | X |
Physician services | X | X |
Podiatry services | X | X |
Preventative services (mammograms, Pap smears, prostate exams) | X | X |
Physical therapy (PT)/occupational therapy (OT) | X | X (limit of 10 combines visits per calendar year) |
PT/OT in home services | EPSDT or Early Periodic Screening, Diagnosis and Treatment (previously called CHEC) and pregnant women only | Not Covered |
Prenatal services (care coordination, prenatal and postnatal home visits, group education, nutritional assessment, counseling) | X | Not Covered |
Private duty nursing | X + | Not Covered |
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 |
Organ transplant | X | X |
Vision (VSP) | ||
Routine eye exam | X | X |
Eyeglasses (frames and lenses) | EPSDT or Early Periodic Screening, Diagnosis and Treatment (previously called CHEC) and pregnant women only | EPSDT or Early Periodic Screening, Diagnosis and Treatment (previously called CHEC) |
Contact lenses | EPSDT or Early Periodic Screening, Diagnosis and Treatment (previously called CHEC) and pregnant women only + | Not covered |
Carved Out Services (not covered by Molina Medicaid) | ||
---|---|---|
Dental | Contact State Medicaid | Contact State Medicaid |
Targeted case management T1017, T1023 | 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 |
Specialized mental health services | Prepaid Mental Health Plan | Contact State Medicaid |
Transportation | Contact State Medicaid | Contact State Medicaid |
Chiropractic services | Contact State Medicaid | Contact State Medicaid |
Apnea monitors | Contact State Medicaid | Contact State Medicaid |