Provider Training

Utah Medicaid Invites You to Attend the 2022 Medicaid Statewide Provider Training

Utah Medicaid will be offering the 2022 Statewide Provider Training in an online live webinar format. This year we are hosting multiple trainings covering specific topics. Providers can sign up to attend multiple trainings. When registering, please provide specific questions you would like addressed. This will assist staff in preparing the slides and obtaining answers ahead of time.

Training Sessions:

  • Provider Reimbursement Information System for Medicaid (PRISM) Overview
  • Utah Office of Inspector General
  • Provider Enrollment
  • Claims/Billing
  • Prior Authorization
  • Pharmacy
  • Healthcare Policy

To register for the 2022 training, please complete the Google Form.

The following dates and times are scheduled for the 2022 Medicaid Statewide Provider Training.

Each session, with the exception of the OIG, will include managed care and behavioral health information.

Date

Time

Training

Description

Tuesday, August 16

10:00 am-11:00 am

Provider Reimbursement Information System for Medicaid (PRISM) Overview

High-level overview of the January 2023 implementation of the new PRISM system with information regarding trainings for providers.

Wednesday, August 17

9:00 am-11:00 am

Utah Office of Inspector General

Overview of the OIG; common fraud, waste, and abuse schemes; avoiding improper Medicaid payments; and provider tips and resources.

Thursday, August 18

9:00 am-11:00 am

Provider Enrollment

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

Tuesday, August 23

1:00 pm-3:00 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 24

1:00 pm-3:00 pm

Prior Authorization

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

Thursday, August 25

1:00 pm-3:00 pm

Pharmacy

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

Tuesday, August 30      

9:00 am-11:00 am

Healthcare Policy

Overview of specific and new Medicaid policies such as:

  • Autism Spectrum Disorder Services and Applied Behavior Analysis (ABA)

  • Central Nervous System Neurological Assessment

  • COVID-19 Vaccination Counseling

  • Dental

  • Hospice Care Services

  • Laboratory Services and Clinical Laboratory Improvement Amendments (CLIA)

  • Medical supplies

  • Personal Care Services

  • Physician Assistants and Nurse Practitioners Reporting as Assistants to Surgery

  • Physical Therapy and Occupation Therapy Coverage for Tradition and Non-Traditional Members

  • Qualified Clinical Trials

  • Radiation Treatment and Delivery Management

  • Transportation Services

  • You may view the Statewide Provider Training 2021 Presentation here.
  • You may view the Statewide Provider Training 2020 Presentation here.

The audio recording for the 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