Upload Documents (4 minutes)

clturner February 22, 2023

Upload Documents (4 minutes)

Submit Enrollment Application (2 minutes)

clturner February 22, 2023

Submit Enrollment Application (2 minutes)

Overview: Enrolling as an Atypical Agency Provider (6 minutes)

clturner February 22, 2023

Overview: Enrolling as an Atypical Agency Provider (6 minutes)

Add Basic Information (5 minutes)

clturner February 22, 2023

Add Basic Information (5 minutes)

Add Locations (9 minutes)

clturner February 22, 2023

Add Locations (9 minutes)

835/ERA Enrollment Form (5 minutes)

clturner February 22, 2023

835/ERA Enrollment Form (5 minutes)

Add Payment Details (3 minutes)

clturner February 22, 2023

Add Payment Details (3 minutes)

Complete Enrollment Checklist (4 minutes)

clturner February 22, 2023

Complete Enrollment Checklist (4 minutes)

Add Taxonomy Details (4 minutes)

clturner February 22, 2023

Add Taxonomy Details (4 minutes)

Add Mode of Claim Submission (6 minutes)

clturner February 22, 2023

Add Mode of Claim Submission (6 minutes)

  • Page 25 of 35
  • ←
  • 1
  • ...
  • 24
  • 25
  • 26
  • ...
  • 35
  • →

HB 413 Quick Links

Boards and Committees Home Behavioral Health Delivery Workgroup Home 2022 Archive 2023 Archive 2024 Archive

Follow us online

Image
Department of Health and Human Services opens in a new tab
Cannon Health Building
288 North 1460 West
Salt Lake City, UT
84116
Contact Us
 
For eligibility questions or concerns:
1-866-435-7414
For other questions:
1-866-608-9422
 
External information disclaimer opens in a new tab

Navigation Menu

  • Apply
    • Apply for Medicaid
    • Apply for Baby Your Baby
    • Cómo y Dónde Pedir la Asistencia Médica
  • Members
    • Members Home
    • Additional Information
    • Language Services
    • Nondiscrimination Policy
    • Programs and Services
    • Providers
    • Resources
    • MyBenefits Login
    • Virtual Meeting Schedule
  • Providers
    • Providers Home
    • PRISM Info
    • PRISM Portal Access
    • Become a Medicaid Provider
    • Claims
    • Coverage and Reimbursement
    • Managed Care
    • Medicaid Pharmacy Program
    • Patient Eligibility Verification
    • Presumptive Eligibility Portal Access
    • Prior Authorization
    • Provider Resources and Information
    • Provider Training
  • Programs
    • Programs Home
    • Adult Expansion Medicaid
    • Autism Related Services
    • Baby Your Baby
    • Buyout Program
    • Children’s Health Insurance Program
    • Early and Periodic Screening, Diagnostic and Treatment
    • Living Well with Chronic Conditions Program
    • Medicaid for Long-Term Care and Waiver Programs
    • Presumptive Eligibility
    • Restriction Program
    • Spenddown Program (Medically Needy)
    • Summary of All Medicaid Programs
    • Targeted Adult Medicaid Program
    • Tobacco Cessation Program
    • Utah’s Premium Partnership for Health Insurance
    • Justice-Involved Program
  • Administration
    • Administration Home
    • UTAH’S MEDICAID REFORM 1115 DEMONSTRATION
    • Boards and Committees
    • HIPAA
    • Hearings
    • Medicaid Expansion
    • Medicaid State Plan
    • Nondiscrimination Policy
    • PRISM Info
    • Publications
    • Reporting Fraud
    • Unwinding Medicaid Continuous Eligibility
  • ESPAÑOL

Resources

211Utah - United Way opens in a new tab
Safe UT opens in a new tab
Utah Domestic Violence Coalition opens in a new tab
988 Suicide and Crisis Lifeline opens in a new tab
Medicaid A-Z opens in a new tab

Hotlines

Abuse/Neglect of Seniors and Adults with Disabilities opens in a new tab
1-800-371-7897

Child Abuse/Neglect
1-855-323-DCFS(3237)

Crisis Line & Mobile Outreach Team
1-801-587-3000

National Suicide Prevention Lifeline opens in a new tab
1-800-273-TALK(8255)

Sexual Violence Crisis Line
1-888-421-1100

Utah Domestic Violence opens in a new tab
1-800-897-LINK(5465)