GENERAL ATTACHMENTS
Updated January 2008

A complete Utah Medicaid Provider Manual includes the attachments listed below. 

Access Now Instructions/Fax Numbers
Guide to Medical Interpretive Services
CMS -1500 Instructions (provided by UHIN)
Coordination of Benefits
Medicaid Identification Cards
Medicaid Information Line Menu
Telephone Menu Options
Managed Care Plan List (MCPs and PMHPs)
Prior Authorization Request Form Instructions
Publications Request Form
Request for Hearing Form

To request a complete, printed copy of an attachment, contact Medicaid Information or send an E-mail message to: medicaidops@utah.gov    State which specific attachment you want. and whether you prefer electronic or printed format.  Electronic format can be returned to you via E-mail.  Written format can be FAXed back to you.  If not specified in your message, the item requested will be sent by U.S. Postal Mail.