Central office administering the state Medicaid program for Utah. Provides information and counseling for Medicaid, submission of complaints and appeals, waiver programs, processing claims, and non-emergency medical transportation.
Medicaid
Provider Info
Description:
Program that provides access to medicaid or medicaid related services in special circumstances. Circumstances may include mental or physical disability, brain injury, residence in a nursing facility, and more.
Eligibility:
Must meet one of the waiver categories.
Service Hours:
M, W - F 8 am - 5 pm; Tu 11 am - 5 pm
Intake Procedure:
Visit the website to see the different types of waivers and their eligibility.
Fees:
No cost
Service Contact Information:
medicaid.utah.gov/ltc-2/ag/
US
Description:
Helps people understand their Medicaid benefits and provider options, as well as how to apply.
Eligibility:
Service Hours:
M, W - F 8 am - 5 pm; Tu 11 am - 5 pm
Intake Procedure:
Call or visit website for information.
Fees:
No cost
Service Contact Information:
US
Description:
State operated health insurance program providing medical insurance to those with limited income or resources.
Eligibility:
Must meet income requirements or fit into a special exempt category.
Service Hours:
M, W - F 8 am - 5 pm; Tu 11 am - 5 pm
Intake Procedure:
Apply in person at any Department of Workforce Services location, by
phone, or online.
phone, or online.
Fees:
No cost to apply, insurance fees vary by program plan.
Service Contact Information:
US
Description:
Program providing UTA transit cards, Para-Transit bus vouchers, and door-to-door transportation service reimbursement for medical transport. Also may provide funding for overnight food and lodging, personal mileage reimbursement, and out of state travel.
Eligibility:
Traditional Medicaid recipients who do not have transportation to get to Medicaid-covered services.
Service Hours:
M, W - F 8 am - 5 pm; Tu 11 am - 5 pm
Intake Procedure:
Call for more information, eligibility, and application.
Fees:
No cost
Service Contact Information:
US
Description:
Accepts complaints and reports of suspected fraud in both members and providers.
Eligibility:
Service Hours:
M, W - F 8 am - 5 pm; Tu 11 am - 5 pm
Intake Procedure:
Call or email to report provider fraud.
Fees:
No cost
Service Contact Information:
medicaidmemberfeedback@utah.gov
medicaid.utah.gov/reporting-fraud/
US
Description:
The Medicaid pharmacy team provides customer service, policy recommendations, and reviews prior authorization requests for Medicaid pharmacy services.
Eligibility:
Individuals receiving Medicaid benefits.
Service Hours:
M, W - F 8 am - 5 pm; Tu 11 am - 5 pm
Intake Procedure:
Call for more information.
Fees:
No cost
Service Contact Information:
medicaid.utah.gov/pharmacy-program/
US
Description:
Processes prior authorization requests from providers, reviewing documentation to ensure policy requirements are met and making the final approval. Also performs resident assessments to ensure continued authorizations for applicants to receive services in nursing facilities.
Eligibility:
Service Hours:
M, W - F 8 am - 5 pm; Tu 11 am - 5 pm
Intake Procedure:
Call for more information.
Fees:
No cost
Service Contact Information:
medicaid.utah.gov/prior-authorization/
US