FEE FOR SERVICE COVERAGE

The Utah Medicaid Provider Agreement, the Utah Medicaid Provider Manual, and Medicaid Information Bulletins advise providers as to scope of service, policies, procedures and processes in the Utah Medicaid Program for 'fee-for-service' Medicaid clients. A fee-for-service Medicaid client is defined as either of the following: (1) a client who is not enrolled in a Managed Care Plan (MCP); or (2) a client who is enrolled in a MCP, but the service that is needed is covered by Medicaid, not by the plan.

Most Utah Medicaid recipients receive health care through a MCP and/or a Prepaid Mental Health Plan (PMHP).  For more information about Utah's managed care plans for Medicaid clients, go to  managed care plan.