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  • Medicaid - Utah DHHS
    Medicaid is a state federal program that pays for medical services for low-income pregnant women, children, individuals who are elderly or have a disability, parents and women with breast or cervical cancer
  • Medical Programs - Medicaid - Utah DHHS
    Programs for Enrolled Medicaid Members More information about Medicaid Programs and Waivers is available in the Utah Medical Program Summary
  • Medicaid Pharmacy Program - Medicaid - Utah DHHS
    Welcome to the Utah Medicaid Pharmacy Program! Here you will find information about covered pharmacy products, prior authorization requirements, utilization review programs, and the materials from the Pharmacy Therapeutics (P T) Committee and Drug Utilization Review (DUR) Board
  • Medicare Cost-Sharing Programs - Medicaid - Utah DHHS
    About three months after becoming eligible for a Medicare cost-sharing program, the state begins paying the Medicare Part B premium and the Social Security check will increase However, members will be reimbursed by Social Security for each month of eligibility during which a Medicare premium was deducted from the person’s check
  • New Choices Waiver - Medicaid - Utah DHHS
    New Choices Waiver State Implementation Plan Effective 07 01 2025 opens in a new tab Utah Medicaid Information Bulletin and Provider Manuals This is not an all-inclusive list of required forms for the New Choices Waiver If a provider needs to obtain forms that do not appear in this list, please contact the New Choices Waiver Program
  • Targeted Adult Medicaid Program - Medicaid - Utah DHHS
    Targeted Adult Medicaid Program The following materials were created prior to the merger between the Utah Department of Health (UDOH) and the Utah Department of Human Services (UDHS) These materials are required by federal or state statute to remain on our website
  • Patient Eligibility Verification - Medicaid - Utah DHHS
    The Eligibility Lookup Tool is a website that allows a provider to electronically view a member’s Medicaid eligibility and plan enrollment information The Eligibility Lookup Tool will also tell you if the patient is restricted to a specific provider and if the patient is responsible for co-pays To verify your patient’s eligibility on the portal you will need the information off of the
  • Restriction Program - Medicaid - Utah DHHS
    Utah Medicaid (Fee For Service) Restriction staff uses the guidelines found in R414-29 to determine if a member should be in the Restriction Program Fee for Service Members selected for enrollment are informed of the reasons for the issuance of a Restriction Program card They are then restricted to one Primary Care Provider and one pharmacy
  • Medically Complex Childrens Waiver - Medicaid - Utah DHHS
    MCCW allows program participants to access Medicaid services, assisting them to live as independently and productively as possible within their communities The Utah Department of Health and Human Services (DHHS) is accepting applications on an on-going basis for the MCCW MCCW is funded to provide services to approximately 900 children
  • Health Program Representatives - Medicaid - Utah DHHS
    Health Program Representatives (HPRs) will help you understand your Medicaid benefits HPRs provide education so you can learn about your Medicaid benefits and provider options If you live in Utah, Salt Lake, Davis, Weber, Box Elder, Cache, Iron, Morgan, Rich, Summit, Tooele, Wasatch, or Washington Counties, you must choose a health plan for your medical care If you live in any other county





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