Common use of Medicaid Utilization Thresholds (MUTS Clause in Contracts

Medicaid Utilization Thresholds (MUTS. Enrollees may be subject to MUTS for outpatient pharmacy services which are billed Medicaid fee-for-service and for dental services provided without referral at Article 28 clinics operated by academic dental centers as described in Section 10.28 of this Agreement. Enrollees are not otherwise subject to MUTS for services included in the Benefit Package.

Medicaid Utilization Thresholds (MUTS. Enrollees may be subject to MUTS for outpatient pharmacy services which are billed to Medicaid fee-for-service and for dental services provided without referral at Article 28 clinics operated by academic dental centers as described in Section 10.28 10.18 of this Agreement. Enrollees are not otherwise subject to MUTS for services included in the Medicaid Advantage Benefit Package.. Medicaid Advantage Contract SECTION 10 (BENEFIT PACKAGE, COVERED AND NON-COVERED SERVICES) State 2006