Utah Medicaid

Attention Utah Medicaid pharmacy providers and members

The Utah Medicaid pharmacy vendor, Change Healthcare, is continuing to experience a network and system outage preventing Medicaid from accessing any pharmacy claim information, including overrides and prior authorizations.  This outage is impacting the ability to process pharmacy claims, as well as Medicaid members who are attempting to fill a prescription.
Updated information and resources are available in the Member FAQ and Provider FAQ.  Learn more about what Medicaid is doing in recent press releases: 2/24/24 & 2/22/24.

The PRISM system will be down and unavailable on Wednesday, February, 28th, from 6PM-10PM for maintenance.

Members

Helpful links and information for Medicaid members
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Healthcare providers

Helpful provider resources
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Managed care

Learn more about managed care
Learn More

PRISM

Helpful PRISM resouces for providers
Learn More

Apply for Medicaid today

Online application

Common Questions

What is 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 meet income and other eligibility requirements.

Who is Eligible for Medicaid?

Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. To learn more about the eligibility requirements, click here.

How to Apply?

You can apply for medical assistance today. You will need to complete an application and provide some documents, like a birth certificate. Click here opens in a new tab to start the online application.