We have scoured the internet to provide all you need to know about the Utah Medicaid Benefits.
Medicaid is a joint federal-state program that provides health insurance to low-income individuals who meet specific requirements, including kids, pregnant women, the elderly, and individuals with disabilities. Applying for Medicaid in person, via telephone, or online is simple.
This post will teach you all you need to learn about Medicaid in Utah.
Table of Contents
What is the Utah Medical Program?
Utah Medicaid is a service for people and families with income and resources that fall within specific parameters. Resources primarily apply to the elderly, blind, or disabled population within the bounds of specified rules.
Who is eligible for the Utah Medical Program?
Utah Medicaid offers limited Medicare beneficiaries who are not eligible for the entire Medicaid benefit package some partial financial help with Medicare premiums and copayments or coinsurance through the Medicare Savings Plan.
- Expectant mothers
- People who are blind or disabled or who have a spouse who is blind or disabled;
- People whom someone adopts;
- People whom someone adopted;
- People who are blind or disabled or have a spouse who is disabled.
The Annual Household Income Limits (before taxes)
| Household Size* | The Maximum Income Level (Per Year) |
| 1 | $18,075 |
| 2 | $24,353 |
| 3 | $30,630 |
| 4 | $36,908 |
| 5 | $43,186 |
| 6 | $49,463 |
| 7 | $55,741 |
| 8 | $62,018 |
*For households with more than eight people, add $6,277 per additional person.
How do I contact Medicaid in Utah?
Phone
1-866-435-7414
Mailing Address
Utah Department of Health.
PO Box 143106. Salt Lake City, UT 84114-3106.
Fax: 1-877-313-4717
What are the Medicaid plans in Utah?
Choice of Health Care Delivery
Choice of Health Care Delivery granted the state the power to mandate managed care enrollment for conventional Medicaid recipients living in four urban counties.
A person may now select one of four managed care plans, which the state identifies as their Accountable Care Organizations, from various managed care entities. Previously, the form used PAHPs and PCCMs.
Non-Emergency Transportation
Until the program’s termination and shift to state plan authority, Utah was permitted to contract with a single vendor to provide prepaid non-emergency transportation services.
Healthy Outcomes for Medical Excellence
The state changed the Healthy Outcomes Medical Excellence (HOME) program into a dangerous MCO program, which deals with one plan, to provide behavioral health services and acute, primary, and personal care services to people with developmental disabilities using a patient-centered medical model of care.
For more details regarding Medicaid plans in Utah, visit here.
How do I apply for Utah Medicaid?
Call 1-866-435-7414 to enroll.
Apply in person at the Utah Department of Health.
Online: Download and print the application.
Mail: To PO Box 143106. Salt Lake City, UT 84114-3106.
Fax: 1-877-313-4717
What is covered by Utah Medicaid?
Utah Medicaid covers the following services:
| Ambulatory surgery | Hospital stays |
| Audiology services | Laboratory tests |
| Behavioral health services | Vision care |
| Women’s health care | Non-emergency transportation |
| Dialysis | Orthotic and prosthetic devices |
| Doctor visits | Occupational therapy |
| Smoking cessation services | Pharmacy (medications) |
| Emergency care | Physical rehabilitation |
| Family planning services | Preventive care |
| Hearing aids | Hospital outpatient care |
| Home health care | X-rays and other radiology services |
Can I have both Utah Medicaid and Medicare?
You can take advantage of both programs if you are qualified for both Medicare and Medicaid in Utah. If you reach the age of 65, have ALS or ESRD, or have been receiving disability benefits for at least 24 months, you may be eligible for Medicare.
Utah Waiver
- Medicaid Autism Waiver
- Acquired Brain Injury;
- New Choices Waiver
- Medically Complex Children’s Waiver
- Physical Disabilities Waiver
- Aging Waiver
Copayments?
They do not have to pay a copayment. When a member is
- under 21 years old;
- pregnant;
- Held by the state
- Placed under government supervision
- Native American participants who qualify for Contract Health funding
- Services or Tribal Union of Indian Health Services
- The hospital (inpatient)
- A facility for skilled nursing
- A nursing home
What is not covered by Utah Medicaid?
In Utah, Medicaid is not mandated to offer in-home caregiving services or private nursing coverage. Bandages, adult diapers, and other disposable items are frequently excluded from insurance coverage, as are cosmetic surgery and other elective procedures.
What is the highest income limit for Utah Medicaid?
Adults in Utah who earn up to 138% of the national poverty threshold per year ($17,608 for a single or $36,156 for a family of four) are now eligible for Medicaid under the expansion.
What if a person’s income is too high to qualify for regular Medicaid benefits?
If your income is too high, you may still be eligible for Utah Medicaid, thanks to the asset spend down option.
What documents do I need to apply for Medicaid?
The following documents are required with the application:
- The Social Security Number;
- Evidence of citizenship or authorized residency in the United States, such as a passport, driver’s license, birth certificate, green card, or job authorization card
- Evidence of all income sources, both legal and illegal
- Proof of origin
- Proof of residency
- Including the Medicare card, any insurance cards
- Pregnancy;
- When non-parents apply for Medicaid on their behalf, they must provide evidence of their financial position.
What is the best Medicaid in Utah?
The best plan for you is the one that meets your demands and offers the most benefits in terms of health insurance and monetary help because it varies from person to person.
Where do I find the letter showing the reason(s) for denial or discontinuance from Utah Medicaid?
By signing into your account at Portal, you can see the progress of your Utah Medicaid application.
