Provider Training

Utah Medicaid Invites You to Attend the 2023 Medicaid Statewide Provider Training

Utah Medicaid will be offering the 2023 Statewide Provider Training in an online live webinar format. This year we are hosting a variety of trainings covering specific topics. Providers can sign up to attend multiple trainings. When registering, please provide specific questions you would like addressed during the training. This will assist staff in preparing the slides and obtaining answers ahead of time.

Training Sessions:

  • Claims/Billing
  • Provider Enrollment
  • Pharmacy Program
  • Prior Authorization
  • Healthcare Policy
  • Managed Care & Additional Specialties (i.e., dental, applied behavior analysis, durable medical equipment, behavioral health)
  • Utah Office of Inspector General
  • Q&A Session

To register for the 2023 training, please complete the Google Form.

The following dates and times are scheduled for the 2023 Medicaid Statewide Provider Training.

Date

Time

Training

Description

Tuesday, August 15

Thursday, August 31

10:00 -11:00 am

1:00 – 2:00 pm

Claims/ Billing

How to process claims, electronic data interchange (EDI), corrected claims, billing modifiers, denials, appeals, coordination of benefits, and new updates.

Wednesday, August 16

Tuesday, August 29

10:00 -11:00 am

1:00 – 2:00 pm

Provider Enrollment

How to process new enrollments, retro enrollments, end dating an association, and new updates.

Thursday, August 17

Wednesday, August 30

10:00 -11:00 am

1:00 – 2:00 pm

Pharmacy Program

Overview of coverage, billing, opioids, retro-drug utilization review (DUR), medication therapy management (MTM) services, pharmacy prior authorization, and new updates.

Tuesday, August 22

 

Thursday, September 7

1:00 - 2:00 pm

10:00 – 11:00 am

Prior Authorization

How to submit a prior authorization, requirements, resources, and new updates.

Wednesday, August 23

Tuesday, September 5

1:00 - 2:00 pm

10:00 – 11:00 am

Healthcare Policy

Overview of specific and new Medicaid policies.

Thursday, August 24

Wednesday, September 6

1:00 - 2:00 pm

10:00 – 11:00 am

Managed Care & Additional Specialties (Dental, Applied Behavior Analysis, Durable Medical Equipment, Behavioral Health)

Overview of the Medicaid managed care plans, including how to process claims. This session will also cover specialty providers.

Tuesday, September 12

10:00 - 11:30 am

Utah Office of Inspector General

Overview of the OIG; including: common fraud, waste, and abuse schemes; avoiding improper Medicaid payments; COVID-19 and emerging fraud trends; The False Claims Act; how to report; and provider tips and resources.

Wednesday, September 13

10:00 – 11:00 am

Questions & Answers

We will have various subject matter experts on hand to answer provider questions.

The audio recording for the 2022, 2021 and 2020 Statewide Provider Training is available in the Medicaid Trainings link below.

Additional provider trainings, including prerecorded instructional videos and access to all of the PRISM training videos, are available in the links below.

To contact a provider training representative, email: providertrainingsupport@utah.gov