R414-1-5. Incorporations by Reference

The Department incorporates by reference the: (1) Utah Medicaid State Plan (2026), published by the Centers for Medicare and Medicaid Services, including the Coverage and Reimbursement Code Lookup Tool found at https://medicaid.utah.gov/coverage-and-reimbursement/; and (2) Utah Medicaid Provider Manuals, published by the Division of Integrated Healthcare under the Utah Department of Health and Human Services, including: (a) Autism Spectrum Disorder Services, version January 2026; (b) Behavioral Health Services, version January 2026; (c) Dental, Oral Maxillofacial, and Orthodontia Services, version January 2026; (d) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, version January 2026; (e) home and community-based services waivers, including the: (i) Home and Community-Based Services Waiver for Individuals with an Acquired Brain Injury, version September 2025; (ii) Home and Community-Based Services Waiver for Individuals with Physical Disabilities, version September 2025; (iii) Home and Community-Based Services Waiver for Technology Dependent, Medically Fragile Individuals, version July 2020; (iv) Home and Community-Based Waiver Services New Choices Waiver, version July 2021; (v) Medically Complex Children's Waiver, version July 2020; (vi) Utah Home and Community Based Services Waiver for Individuals with Intellectual Disabilities or Other Related Condition, version November 2025; and (vii) Utah Home and Community-Based Services Waiver for Individuals Age 65 or Older, version April 2022; (f) Home Health Services, version January 2026, including the manual's attachment for the Private Duty Nursing Acuity Grid; (g) Hospice Care Services, version January 2026; (h) Hospital Services, version January 2026, including the manual's attachments; (i) Housing Related Services and Supports, version September 2025; (j) Indian Health Services, version November 2025; (k) Integrated Healthcare Services, version January 2026; (l) Long Term Care Services in Nursing Facilities, version September 2025, including the manual's attachments; (m) Medical Supplies and Durable Medical Equipment, version November 2025, as applied in Rule R414-70, including the manual's attachment for Donor Human Milk Request Form; (n) Medical Transportation Services, version September 2025; (o) Personal Care Services, version January 2026; (p) Pharmacy Services, version January 2026, including the manual's attachments; (q) Physician Services, version January 2026, including the manual's attachments; (r) Physical Therapy and Occupational Therapy Services, version January 2026; (s) Rural Health Clinics and Federally Qualified Health Centers Services, version November 2025; (t) School-Based Skills Development Services, version January 2026; (u) Section I: General Information, version January 2026, including the general attachments; (v) Speech-Language Pathology and Audiology Services, version September 2025; (w) Targeted Case Management for Early Childhood, version July 2025; (x) Targeted Case Management for Individuals with Serious Mental Illness, version July 2025; (y) Vision Care Services, version November 2025; and (z) Women's Services and Family Planning, version March 2026.