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TELEPHONE NUMBERS, ADDRESSES and WEB LINKS

Choose area of interest: General Medicaid Provider Medicaid Client
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Medicaid Information 1-800-662-9651

Medicaid de Utah, Los Folletos en Español

Find a Medicaid Office near you

Baby Your Baby web site:1-800-826-9662 or l-800-662-9651.

CHIP web site Hotline: 1-888-222-2542

For concerns or help, contact the Division of Medicaid and Health Financing Constituent Services Representative: 801-538-6417 or 1-877-291-5583 or e-mail randapickle@utah.gov.

Web Coordinator

Other Medicaid or Health-Related Sites: Internet links to other sites, including other state's Medicaid programs.

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MEDICAID CLIENTS:

Medicaid Member Guide

Questions? Call your local Medicaid Eligibility office for information about qualifying for Medicaid or with questions about your Medicaid eligibility. Call Medicaid Information 1-800-662-9651 for information about coverage and benefits, or if you are being billed for a medical service you thought was covered by Medicaid.

Need to Change Health Care Providers?

If you live in the Wasatch front (Salt Lake, Utah, Davis, Weber, and Morgan Counties), call your local health program representative.
If you live in Tooele or Summit County, call Medicaid Information, toll-free 1-800-662-9651.
If you live in Box Elder or Washington County, call your local County Health Department.

Health Program Representatives: For more information click here.

Mental Health Services: For information about covered mental health services, call the mental health center listed on your Medicaid card or click here. If the center identified on your card is not correct, call your Medicaid worker at your local Medicaid Eligibility Office.

Insurance Information: The name of your Third Party Liability (TPL) insurance is on your Medicaid card. To change this information, call the Office of Recovery Services, Team 76: Salt Lake City area 536-8798 or call toll free in Utah: 1-800-821-2237.

Client Concerns: Division of Medicaid and Health Financing Constituent Services Representative: 801-538-6417 or 1-877-291-5583 or e-mail randapickle@utah.gov.

Client Complaints: For complaints regarding your application and/or eligibility, contact DWS Customer Relations: 801-526-4390 or 1-800-331-4341 or visit the website here.

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MEDICAID PROVIDERS:

Is Patient eligible? Use Access Now, ANSI 270/271 or call Medicaid Information 1-800-662-9651 to find out if a patient is covered by Medicaid or PCN, the months of eligibility, co-payment/co-insurance, and "spenddown".

Questions about Managed Care: Call the plan in which the client is enrolled. Plan is listed on the Medicaid Card, or use Access Now, ANSI 270/271 or call Medicaid Information 1-800-662-9651.

Managed Care Plans Telephone number list
Prepaid Mental Health Plans Telephone number list.

Prior Authorization (Fee-for-Service Coverage).

Call Medicaid Information 1-800-662-9651
Procedures for Medicaid Prior Authorization are listed in SECTION 1, Chapter 9 - 5, of the Utah Medicaid Provider Manual.
Specific criteria are listed in SECTION 2 of the Utah Medicaid Provider Manual.

Claim Inquiries

Use ANSI 276/277 or call Medicaid Information.
Medicaid Crossover claims, refer to SECTION 1, Chapter 11 - 6, of the Utah Medicaid Provider Manual.

Hearings for Providers and Peer Review

Procedures for Provider Hearing: SECTION 1, Chapter 6 - 14, of the Utah Medicaid Provider Manual
Procedures for Peer Review: SECTION 1, Chapter 7 - 1, of the Utah Medicaid Provider Manual

Medicaid and Bulletins Online: See information on the Medicaid Provider Website

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