Health Care Providers

Health Care Providers

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

Utah Medicaid is changing its phone system downtime schedule. Effective April 8, 2024, many of the Utah Medicaid call center groups will begin a new schedule where phone downtime will be on Tuesdays from 8 - 11 am instead of Thursdays.

The Pharmacy prior authorization team, the Restriction program, and HPRs will not  be moving to the new Tuesday phone downtime schedule. The PRISM system is available so providers can still access this information, as well as verify member eligibility online.

Medicaid pharmacy providers: Learn more about the updated COVID vaccine administration fee, effective October 1, 2024.

Become a Medicaid Provider

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Provider Manuals

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Helpful PRISM Resources for Providers

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Medicaid Information Bulletins

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Provider Training

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PRISM Portal Access

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Patient Eligibility Lookup Tool

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Coverage & Reimbursement

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Prior Authorization

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Provider Resources & Information

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Managed Care

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Medicaid Pharmacy Program

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Help, Questions, Concerns, and Complaints

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Find a Health Care Provider

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How to File an Appeal/Hearing

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Start or Update Waiver Application, Referral or Check Status of an Application, Referral

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Deficit Reduction Act, Section 6032

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