Health Care Providers

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Eligibility Lookup Tool Coverage and Reimbursement Lookup Tool Physician Enhancement Attestation Criteria HIT Incentive Payment Program Find a Health Care Provider Qualifying Clinical Trials and Medicaid FAQs

The Utah Department of Health and Division of Medicaid and Health Financing welcome you as a Utah Medicaid provider. Your service in providing care is greatly appreciated.

Starting May 1, 2023, DHHS will begin issuing a new Medicaid card to replace the old Utah Department of Health (UDOH) card for newly enrolled Medicaid members. Each new Medicaid member will get their own card.  Existing members will continue to use their old UDOH Medicaid card. Please accept both DHHS and UDOH Medicaid cards. Learn more in the New Medicaid Card FAQ for Providers.

Become a Medicaid Provider
Become a Medicaid Provider
Provider Manuals
Provider Manuals
Helpful PRISM Resources for Providers
Helpful PRISM Resources for Providers
Medicaid Information Bulletins
Medicaid Information Bulletins
Provider Training
Provider Training
PRISM Portal Access
PRISM Portal Access
Patient Eligibility Lookup Tool
Patient Eligibility Lookup Tool
Coverage & Reimbursement
Coverage & Reimbursement
Prior Authorization
Prior Authorization
Claims
Claims
Provider Resources & Information
Provider Resources & Information
Managed Care
Managed Care
Medicaid Pharmacy Program
Medicaid Pharmacy Program
Help, Questions, Concerns, and Complaints
Help, Questions, Concerns, and Complaints
Find a Health Care Provider
Find a Health Care Provider
How to File an Appeal/Hearing
How to File an Appeal/Hearing
Start or Update Waiver Application, Referral or Check Status of an Application, Referral
Start or Update Waiver Application/Referral or Check Status of an Application Referral