Provider Reimbursement

Office of Reimbursement, Coordinated Care, and Audit

Please click on one of the following links to be directed to specific resources available for that category:

Utah Medicaid State Plan

Accountable Care Organization (ACO) Resources

Inpatient Resources

Outpatient Resources

HCPCS, CPT and Anesthesia Fee Resources

Long Term Acute Care (LTAC) Hospitals

Long-Term Care Resources (NFs and ICFs/ID)

Ambulance Assessment

Hospice Resources

IGT Certification Form

Interpretive Services Vendor Resources

Federally Qualified Health Centers (FQHC)/Rural Health Clinics (RHC)

Provider Rate Reviews

Long-Term Care Resources (NFs and ICFs/ID)

Please click on one of the following links to be directed to specific resources available for that category:

Nursing Facilities
     - Rates

             - Historical Rates

     - MDS Case Mix Preview Report
     - QI Incentive Programs
     - Non-state Government Owned (NSGO)

          - UPL Program
     - Swing Bed Rates
     - Moratorium and Transfer of NF Beds
     - Additional Resources
ICF/ID
     - Rates
     - Incentive Programs
FCP and FRV Forms

Bed Assessment Rates

Inpatient Resources

Please click on one of the following links to be directed to specific resources available for that category:


Diagnosis-Related Group (DRG)


Disproportionate Share (DSH)
     - (DSH) Expenditures
     - (DSH) Audits

Graduate Medical Education (GME)


Hospital Assessment


Shaken Baby Syndrome

Contact Information

General Information

Via U.S. Post Office

Via UPS or FedEx

801-538-6096

DHHS, Division of Integrated Healthcare

ORCA/Reimbursement

PO Box 143325

Salt Lake City, UT  84114-3325

DHHS, Division of Integrated Healthcare

ORCA/Reimbursement

288 North 1460 West

Salt Lake City, UT  84116-3231

If you are unsure about an issue, please ask questions.