Utah Medicaid Autism Waiver
Medicaid Autism Waiver Updates
Proposed Waiver Amendment:
Based on clarification of Legislative intent, the Utah Department of Health plans to amend the Medicaid Autism Waiver to allow children to be served through the end of the child’s sixth year rather than through the child’s fifth year.
To view a copy of the amended waiver, click here.
To offer comments on the proposed amendment, click here.
Current and Future Waiver Enrollment:
All eligible children who applied for the program during the initial open application period are either receiving services or are in the enrollment process.
The Department of Health is pleased to announce the open enrollment dates for the Medicaid Autism Waiver Program. The Department will be accepting applications to fill 35 openings. From June 17, 2013 to July 12, 2013, interested families can apply online at this website or by mail or fax. (Printable copies of the application will be made available on the website).
Children currently enrolled in traditional Medicaid will not be automatically eligible for the program and will need to apply. Children currently participating in the Medicaid Autism Waiver Program, will not need to reapply.
At the conclusion of the open enrollment period, if more than 35 applications are received, random selections will be made based upon geographical area, with openings allocated according to population figures from the 2010 Census. The Department of Health will be making contact with those selected during the week of August 5th. Individuals are not selected on a "first come, first served" basis, so please encourage anyone who may be able to benefit from the program to apply.
In order to be eligible for the program, additional medical documents will be requested to support the Autism Spectrum Disorder diagnosis received. For examples of the types of observations that will be required, please refer to the website.
Medicaid application links:
- The Medicaid Autism Waiver is a program to assist children ages 2 through 6 who have been diagnosed with an autism spectrum disorder (ASD)
- The waiver provides in-home services using treatment methods that have been proven to be effective for children with ASD
- Approximately 300 children will be covered throughout the pilot program period which ends in June 2014
- Waiver openings will be distributed across the State based upon regional population numbers from the 2010 US Census
- Have a child ages 2 through 6 who has an ASD diagnosis from a clinician who is authorized within the scope of their licensure
- Only the child's income and assets are used to determine eligibility for the program
- All other factors of Medicaid eligibility must also be met (ex. US Citizen or qualified alien, etc.)