Medicaid Online
Utah Medicaid Eligibility Information Systems
For use by Utah Medicaid Providers ONLY
Medicaid has three information systems available for providers to verify if their patients are eligible for Medicaid:
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Eligibility Lookup Tool – a website to electronically view a member’s Medicaid eligibility
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AccessNow – a touchtone telephone eligibility line
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ANSI 270 and the ANSI 271 – an indirect connection to the Medicaid computer system
Eligibility Lookup Tool
The Eligibility Lookup Tool is a website that allows a provider to electronically view a member’s Medicaid eligibility and plan enrollment information. The Eligibility Lookup Tool will also tell you if the patient is restricted to a specific provider and if the patient is responsible for co-pays. In addition, the Eligibility Lookup Tool can be used to verify Primary Care Network (PCN) and Children’s Health Insurance Program (CHIP) eligibility. Training materials on how to use the Eligibility Lookup Tool are available here.
AccessNow
Use a touchtone telephone to operate AccessNow. It provides information on patient eligibility, patient restrictions, other insurance coverage, MCP enrollment, and Primary Care Provider information, when applicable. Instructions for use of AccessNow opens in a new tab are available from Medicaid.
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In the Salt Lake City area, call: (801) 538-6155
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In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada, call: Toll-free 1-800-662-9651
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From other states, call: (801) 538-6155
ANSI 270 and ANSI 271
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Obtain a Trading Partner Number (TPN) from, UHIN opens in a new tab or call (801) 466-7705.
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Use the free software from UHIN (or any HIPAA compliant software) to transmit your request.
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After two hours use your software to retrieve the Medicaid response to your query.
Check out these links for instructions and more information about the Eligibility Lookup Tool opens in a new tab, AccessNow opens in a new tab, and the ANSI 270 and ANSI 271.