COVID-19
In response to the COVID-19 pandemic, the Division of Medicaid and Health Financing is actively working to address the concerns and needs of Medicaid members and providers. Below are some helpful Coronavirus resources:
Member Information
Below please find some recent Member updates:
Medicaid Eligibility ‐ In response to the Families First Coronavirus Response Act opens in a new tab, Utah Medicaid will not close any Medicaid cases that were eligible as of March 18, 2020. These cases, or members, will continue to receive benefits through the end of this emergency period. Members will be notified at that time if their case will change or close.
CHIP Premiums ‐ CHIP premiums will be waived during this emergency period and CHIP members will not be required to pay their quarterly premium. Any premiums collected during this emergency period will be refunded to the member.
Provider Information
Below please find program information relevant to Medicaid providers that may be helpful during this pandemic:
- 2022-04 Pharmacy OTC COVID Tests opens in a new tab
- Utah Medicaid COVID-19 Vaccine Billing Guidance for Pharmacy Point of Sale Claims opens in a new tab
- Utah Medicaid COVID-19 Vaccine Billing Guidance for Pharmacy Point of Sale and Medical Claims opens in a new tab
- Monoclonal Antibodies for the Treatment of COVID-19 for Utah Medicaid Members FAQ opens in a new tab
- Telehealth FAQ for COVID-19 Emergency opens in a new tab
- Teledentistry Guidance and FAQ for COVID-19 Emergency opens in a new tab
- Distance Education FAQ for COVID-19 Emergency opens in a new tab
- Provider Credentialing FAQ for COVID-19 Emergency opens in a new tab
- Billing and Pharmacy Guidance for COVID-19 Emergency opens in a new tab
- Prior Authorization Management for COVID-19 Emergency opens in a new tab
- COVID-19 Positive Skilled Nursing Facility Admission Announcement opens in a new tab
- Temporary Adjustments to Applied Behavior Analysis (ABA) Services Policy for COVID-19 Emergency opens in a new tab
- Medical Transportation Services of COVID-19 Positive Members opens in a new tab
- Pharmacy “Proof of Delivery” Requirement Related to the COVID-19 Emergency opens in a new tab
- COVID-19 Uninsured Testing Coverage
- Enhanced Provider Relief Fund Information opens in a new tab
- Enhanced Provider Relief Fund Fact Sheet opens in a new tab
Medicaid and CHIP Flexibilities
The Division of Medicaid and Health Financing is actively seeking additional program flexibilities from the Centers for Medicare and Medicaid Services (CMS) in response to the COVID-19 public health emergency. Below please find the recently submitted requests:
- 1135 Waiver Request (submitted 4.3.20) opens in a new tab
- 1135 Waiver Partial Approval from CMS (received 4.10.20) opens in a new tab
- 1135 Waiver Final Approval from CMS (received 6.12.20) opens in a new tab
- HCBS Waivers APPENDIX K: Emergency Preparedness and Response and COVID-19 Addendum (approved 4.17.20) opens in a new tab
- COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers from CMS opens in a new tab