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Fee for Service Network - Utah Department of Health Medicaid

A Fee for Service Medicaid member is defined as either of the following: (1) a member who is not enrolled in an Accountable Care Organization (ACO); or (2) a member who is enrolled in an ACO, but the service that is needed is covered by Medicaid, not by the plan. Medicaid refers to services not covered in a contract with an ACO or Prepaid Mental Health Plan as ‘carve-out’ … 

Contact - Utah Department of Health Medicaid

For member concerns or complaints, contact the Division of Medicaid and Health Financing Constituent Services Representative: (801) 538-6417 or 1-877-291-5583 or email [email protected] To request hard copies of official Medicaid materials, please email [email protected] . 

Home - Utah Department of Health Medicaid

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. To qualify, these individuals must … 

Utah Department of Health Division of Medicaid and Health

In accordance with the Utah Medicaid State Plan, and section 1902(a)(73) of the Social Security Act and the Utah Department of Health (UDOH) Intergovernmental Policy 01.19 Formal UDOH Tribal Consultation and Urban Indian Organization Conferment Process Policy 

Utah Medicaid Provider Credentialing

application has been submitted, please email [email protected] with your request. You will need to include the application number, name of the individual, o Application fees pursuant to 42 CFR §455.460; Out-of-state Providers – Utah Medicaid will temporarily waive requirements 

Medicaid, Bureau of Coverage and Reimbursement Policy

Generally, the fees represented here are only for fee-for-service claims paid directly by Utah Medicaid using Utah Medicaid's fee schedule. This fee schedule does not account for any enhancement in fee schedule amounts (i.e., rural physician enhancements, rural dental enhancements, etc.). 

Utah Medicaid Member Guide2021

Welcome to Utah Medicaid 4 Interpreters 4 Rights and Responsibilities 5 Using Your Benefits 6 Traditional and Non-Traditional Benefits 6 American Indians and Alaska Natives 6 Utah Medicaid Card 7 Medicaid Benefit Letter 8 MyBenefits 9 Plans and Providers 10 Fee for Service Network, Managed Care Plan Network, UUSOD Network 10 Available Health 

Utah | Medicaid

As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP — a net increase of 57.29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate 


State Medicaid programs must comply with its requirements by submitting a State Plan Amendment (SPA) by June 30, 2017 to be effective no later than April 1, 2017. Based on the results of the study of pharmacy dispensing cost, a single dispensing fee of $10.28 would reimburse the weighted median cost of dispensing prescriptions to Utah Medicaid