1115 Demonstration Programs and Benefits
Utah’s 1115 Demonstration Waiver has been used to implement the following Utah-specific programs and benefits:
- Aged Dental
- Provides state plan dental benefits to Medicaid eligible individuals age 65 and older.
- Dental benefits for adults with disabilities or blindness
- Employer Sponsored Insurance
- Individuals in the Adult Expansion group are required to enroll in employer sponsored insurance (ESI), if it is available to the eligible individual.
- Former Foster Care Youth From Another State
- Provides state plan Medicaid benefits to former foster care youth from another state up to age 26
- Housing Related Services and Supports (HRSS)
- Intensive Stabilization Services
- Allows the state to provide intensive stabilization services to Medicaid eligible children and youth under age 21, who are in state custody, or at risk of state custody, and experiencing significant emotional and/or behavioral challenges.
- Medicaid Expansion
- Primary Care Network
- Residential and Inpatient Treatment for Individuals with Serious Mental Illness (SMI)
- Provides expenditure authority for services furnished to eligible individuals ages 21 through 64 who receive treatment for a SMI, and who are short-term residents in facilities that meet the definition of an IMD.
- Substance use disorder (SUD) treatment
- Targeted Adult Dental Benefits
- Provides state plan dental benefits for Targeted Adult Medicaid eligible individuals who are receiving Substance Use Disorder (SUD) treatment.
- Targeted Adult Medicaid program
- Utah Medicaid Integrated Care (UMIC)
- Utah’s Premium Partnership for Health Insurance