What's New

ICD-10 Deadline: 10/01/2015

The deadline for implementation of ICD-10 (International Classification of Diseases, 10th Edition) is October 1, 2015.  Utah Medicaid and the Medicaid Management Information System (MMIS) is on target to process claims for the October 1, 2015 deadline. All claims submitted to Utah Medicaid with dates of service on or after October 1, 2015 must use ICD-10 coding, otherwise the claim will be rejected. Any claims with ICD-10 coding received prior to October 1, 2015 will also be rejected.

We encourage all providers to participate in external testing. This testing is meant to ensure that providers are ready by identifying issues with ICD-10 claims submission and payment variance.  Providers have the responsibility to ensure that ICD-10 claims are properly submitted to ensure that payments are not delayed beginning on October 1, 2015.  To minimize your risks with ICD-10 Go-Live, please contact Utah Medicaid with questions between now and October 1, 2015 at utahmedicaidicd10@utah.gov.

Updated information and resources, including fact sheets and training materials, can be found on the Centers for Medicare and Medicaid Services (CMS) website at the following address: http://www.cms.gov/Medicare/Coding/ICD10/. In addition, the Utah Health Information Network (UHIN) has aggregated a large amount of information for ICD-10 on their website at the following address: http://www.uhin.org/icd-10. Please utilize these resources to assist in your transition to ICD-10.