New Choices Waiver
The New Choices Waiver Program is designed to serve individuals who are residing long term in a nursing facility, licensed assisted living facility, licensed small health care (Type N) facility or another type of Utah licensed medical institution (except institutions for mental disease). The Program offers an option for these individuals to move into integrated community-based settings if they wish to do so and if their needs can be safely met in the setting that they have chosen. When an individual is enrolled in the New Choices Waiver Program, they may receive an expanded package of supportive services through Medicaid which are intended to help with community-based living and are based on the assessed need of the individual. A description of the available services can be found below.
PLEASE NOTE: Individuals who are not currently living in one of the types of facilities listed above are not eligible to apply to the New Choices Waiver Program. There is a minimum length of stay requirement in each type of setting. For more information, please contact the New Choices Waiver Program at (800)662-9651, option 6 or firstname.lastname@example.org.
Apply for New Choices Waiver Here
For fastest processing, submit an online application for the New Choices Wavier Program. (First -time applicants will be required to create a UtahID account.)
Paper applications will experience a delay and may be requested via our contact information below.
Please refer to the New Choices Waiver Fact Sheet for more information.
From the Salt Lake City area: 801-538-6155, option 6
Outside the Salt Lake city area: 800-662-9651, option 6
(Phones are staffed 9:00am-12:00pm M-W and F; after these hours there is the option to leave a voicemail which will be returned within a few business days)
UDOH Bureau of Long Term Services & Supports
P.O. Box 143112
288 N 1460 W
SLC, UT 84114-3112
New Choices Waiver offers an expanded package of supportive services that are intended to facilitate a participant's ability to reside in a home or community-based setting. Services are available based on the assessed need of the participant and include those listed below. The New Choices Waiver Description of Services provides a brief description of each service.
Adult Day Care
Financial Management Services
Adult Residential Services
Assistive Technology Devices
Home Delivered Meals
Medication Assistance Services
Personal Budget Assistance
Community Living Services
Consumer Preparation Services
Specialized Medical Equipment
Emergency Response Systems
Environmental Accessibility Adaptations
For expedited processing of a New Choices Waiver application, please apply online starting April 4, 2023 (link coming soon). Our current paper application can be requested by calling the New Choices Waiver Program Office from 9:00am-12:00pm Monday-Wednesday and Friday at 800-662-9651, option 6.
Forms and Applications - Page Bookmarks
(Click a bookmark to jump to that section of the page)
Bookmark (click to follow)
Instructions for Use
Submit this form to authorize New Choices Waiver to speak to anyone other than the individual applying for services.
Library of the most current version of forms used by case management agencies during service provision.
The most current version of forms used by case management agencies when arranging self-administered services for individuals who want to hire their own caregiver.
- New Choices Waiver State Implementation Plan Effective 07.01.2021
- Utah Medicaid Information Bulletin and Provider Manuals
- Program Guidance
This is not an all-inclusive list of required forms for the New Choices Waiver. If a provider needs to obtain forms that do not appear in this list, please contact the New Choices Waiver Program.
- NCW Release of Information (ROI)
- Case Management Forms
- Rights and Responsibilities
- Self-Administered Services (SAS)
As you consider which case management agency you’d like to choose, keep in mind that all New Choices Waiver case management agencies are required to perform certain preset activities for each New Choices Waiver participant. Those include things like assessment of client’s needs, working with clients to develop person centered care plans to meet their assessed needs and to help achieve personal goals, performing at least once monthly monitoring, coordinating services, advocating for their clients and keeping accurate records. However, case management agencies are private contracted organizations that are able to establish their own business hours, establish their own approach to how they will respond to urgent client situations, decide whether they will offer other programs or resources within their organization and determine which areas within the community-based system of care that they will choose to specialize in. For this reason it’s important to do a little research to know which agency is right for your own needs and preferences.
To find out which case management agencies are available, look at the Freedom of Choice Consent Form To receive a county specific Freedom of Choice Form contact the New Choices Waiver Program at (800) 662-9651, option 6 or email@example.com. Then begin reviewing agencies in your county by referring to their contact information below.
Case Management Agency Contacts
Abundant Solutions, LLC
Fax: (385) 316-8840
991 Shepard Ln, Ste 210
Farmington, Utah 84025
Advocates for Independence
152 W. Burton Avenue, Suite F
Salt Lake City, UT 84115
Incident Report Fax: (801) 948-8001
Advocates for Independence Brochure
451 E Bishop Federal Ln
Salt Lake City, UT 84115-2357
Incident Report Fax: (801) 702-8002
Care Advocates Brochure
Davis County Health Department – Senior Services
22 South State
Clearfield, UT 84015
Incident Report Fax: (801) 525-5071
Davis County Health Department – Senior Services Brochure
EnVision Quality Supports
6364 S. Highland Drive #201
Salt Lake City, UT 84121
Incident Report Fax: (801) 874-1753
Incident Report Email: firstname.lastname@example.org
EnVision Quality Supports Brochure
Five County Association of Governments
Area Agency on Aging
1070 W. 1600 S. Bldg. B
St. George, UT 84770
Incident Report Fax: (435) 688-9088
Five County Association of Governments Brochure
1785 E 1450 S Ste 370
Clearfield, UT 84105
Incident Report Fax: (801) 424-6250
4460 S. Highland Drive, Suite 300
Salt Lake City, UT 84124
Incident Report Fax: (385) 388-8009
Generations Case Management
Incident Report Fax: (385) 389-3632
586 E. 800 N.
Orem, UT 84097
Incident Report Fax: (801) 229-3671
Roads To Independence
3355 Washington Blvd.
Ogden, UT 84401
(866) 734-5678 Toll Free
Incident Report Fax: (801) 612-3732
Incident Report Email: Roads@roadstoindependence.org
Roads To Independence Brochure
Salt Lake County Aging and Adult Services
2001 S. State Street #S1-600
Salt Lake City, UT 84114
Incident Report Fax: (801) 487-6353
Incident Report Email: email@example.com
Salt Lake County Aging and Adult Services Brochure
Southeastern Utah Association of Local Governments
375 S. Carbon Avenue
Price, UT 84501
Incident Report Fax: (435) 637-5448
Southeastern Utah Association of Local Governments Brochure
All negative events experienced by NCW participants must be reported by NCW service providers to the participant’s case management agency within 24 hours of discovery. The list below includes examples of negative events that should be reported; this list is not all-inclusive and the Incident Reporting Protocol should be referenced for further information.
- Death, regardless of the circumstances
- Changes in medical or functional status
- Falls with or without injury
- ER treatment for any reason
- Hospital admission for any reason
- Mental health decline
- Start or stop of hospice or home health services
- A move to a skilled nursing facility
- Any negative event that occurs at the client’s place of residence or that occur while the client is in the community
- Events described further in this brochure as possible Critical Incidents
Case management agencies must review all negative events experienced by NCW participants and report any possible critical incidents to the NCW Program within 24 hours of receiving notification. To report a critical incident:
- Complete the Incident Report (IR) form (a provider/facility specific incident report may also be used to report the incident)
- Submit report to firstname.lastname@example.org