GENERAL INFORMATION ABOUT THE UTAH MEDICAID PROGRAM

For information about the Utah Medicaid Program and other medical assistance programs, call Medicaid Information: 1-800-662-9651 toll-free in Utah, Idaho, Wyoming, Colorado, Arizona, New Mexico and Nevada. In other areas, call 1-801- 538-6155.

Choose a topic below for more information. [For a faster search, try using the 'Find' function or go to Medicaid A to Z, an alphabetical list of keywords.] 

• What is Medicaid? A brief explanation of the Medicaid Program.
• Utah Medicaid Brochures in English and Spanish
• Utah Medicaid Programs. Categories of Medicaid and who qualifies.
• Other Medical  Assistance Programs: Medicare Beneficiary, Baby Your Baby, CHIP, Maternal and Child Health; Primary Care Network; Other
• HIPAA: Health Insurance Portability and Accountability Act
• Language services, for people who have difficulty reading, writing or speaking English.

NOTE: For a faster search, try using the 'Find' function or go to the alphabetical list Medicaid A to Z. 

Utah Medicaid Brochures in English and Spanish [Note: Brochures are in Adobe Acrobat Reader format.  If the brochure does not open in a window, go to Adobe Acrobat  for more information.] 

• Wasatch Front, Exploring Medicaid brochure for people living in Salt Lake, Utah,  Davis, Weber, and Morgan Counties
• Rural Utah,Exploring Medicaid brochure for people who live in areas outside the Wasatch Front.of the state. (Brochure is in Adobe Acrobat Reader format.  Use link at bottom of page to install the software needed to view manual.)  The brochure is a comprehensive guide which explains who may be eligible;  rights and responsibilities; health care services covered by Medicaid;  health care providers;  how to use the Medicaid Card;  what to do with medical bills;  other medical assistance programs and organizations that can help; and telephone numbers and addresses for more information. Explorando Medicaid, Su Guía Para Beneficios Médicos, Área De Wasatch,  Área Rural De Utah
  Medicaid application form. To obtain a form, call the local Medicaid office.  Obtain the number from Medicaid Information: 1-800-662-9651 toll-free or (1-801) 538-6155.
  Medicaid vocabulary terms - Words, phrases and acronymns (abbreviations and initials) that are commonly used in the Medicaid program.
  Managed care plans - Explains the Utah Medicaid requirement that Medicaid clients enroll in managed health care organizations, such as HMOs, to receive medical and mental health services.
  Estate Recovery - requirement to recover Medicaid expenditures on clients age 55 and older.

UTAH'S MEDICAID PROGRAMS

There are many types of Medicaid programs.  Does a child or adult need help?

• Child:  (What age is the child?)
• child from birth to age six - 'Newborn'
• child from six to eighteen - 'Newborn Plus'
• Children under the age of 18 not eligible due to income - 'Child'
• child in Foster Care; 
• child in Subsidized Adoption;
• special medical need (Waivers for developmentally disabled; mentally retarded; technology dependent; brain injury)
• Adults: Which best describes the adult?
• Has Children under age 18 - 'Medicaid for a Family '
• Pregnant woman
• Woman with Breast or Cervical Cancer
• Over age 60, Blind or Disabled
• Medically Needy (Spenddown) Program;
• Lives in (or needs to be admitted to) a nursing home or long term care facility
• Has legal refugee status
• Not a legal resident of the United States (visitor, tourist, others who do not meet U.S. citizenship requirements
• special medical need (Waivers for developmentally disabled or mentally retarded; brain injury; technology dependant/ medically fragile children waiver; personal assistance ; age 65 and Older)

OTHER PROGRAMS TO HELP WITH MEDICAL CARE and BILLS

• Qualified Medicare Beneficiaries Program (QMB)  Pays Medicare premiums,  copayments and deductibles
• Specified Low-Income Medicare Beneficiaries Program (SLMB)   Pays Medicare Part B premiums (physician)

Baby Your Baby : Eligible pregnant women can receive prenatal care prior to establishing eligibility for Medicaid.  For more information, call the Baby Your Baby Hotline 1-800-826-9662  or l-800-662-9651. Web page is .http://www.babyyourbaby.org

CHIP (Child Health Insurance Program): Medical program for children who don't have medical insurance.  CHIP's Income limit is higher than Medicaid's and CHIP does not have an asset limit.  Call toll-free 1-888-222-2542. Web:   http://health.utah.gov/chip/

Custody Medical Care Program: Medical program for a child in the custody of the State, similar to Foster Care.

Non-Traditional Medicaid Plan (NTMP) is similar to Medicaid, but is more restricted and does not have as many benefits.  Contact a Medicaid office for more information.

Primary Care Network (PCN) is similar to the old UMAP program.  Contact a Medicaid office for more information.

Maternal and Child Health Programs, such as Immunzation, BabyWatch, Pregnancy Riskline,

Resource list of people and places: four page list of phone numbers and addresses of clinics; charities; aid organizations; federal, state and local agencies. Or call your local Information and Referral Center.

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