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  • Pdf Utah Department Of Health Provider Agreement For Medicaid And Umap Form

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UTAH DEPARTMENT OF HEALTH DIVISION OF HEALTH CARE FINANCING PROVIDER AGREEMENT FOR MEDICAID AND UMAP This is a Provider Agreement for participation in both Title XIX of the Social Security Act (Medicaid).

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Related content

Utah - Medicaid
Sep 28, 2012 — System (BRFSS): https://ibis.health.utah.gov/pdf/opha/publication/ins/...
Learn more
Utah - Medicaid
Sep 28, 2012 — System (BRFSS): https://ibis.health.utah.gov/pdf/opha/publication/ins/...
Learn more

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In approximately half of the states, ABD Medicaid's income limit is $914 / month for a single applicant and $1,371 for a couple. In the remaining states, the income limit is generally $1,215 / month for a single applicant and $1,643 / month for a couple.

Medicaid Managed Care Plans Managed Care Health PlansHealth Choice Utah: 1-877-358-8797 healthchoiceutah.comHealthy U: 1-888-271-5870 uhealthplan.utah.edu/medicaidMolina Healthcare: 1-888-483-0760 molinahealthcare.comSelectHealth Community Care: 1-800-538-5038 selecthealth.org/plans/medicaid

The expansion extends Medicaid eligibility to Utah adults whose annual income is up to 138% of the federal poverty level ($17,608 for an individual or $36,156 for a family of four). The federal government covers 90% of the costs for these services, with the state covering the remaining 10%.

These courses describe how to enroll as a new Utah Medicaid Provider depending on the enrollment type. If you have questions, please call Provider Enrollment at (801) 538-6155, or toll-free 1-800-662-9651 (option 3 then 4) or by email: providerenroll@utah.gov.

An application will need to be submitted using the PRISM online application process found at https://medicaid.utah.gov/become-medicaid-provider/. Once the application has been submitted, please email providerenroll@utah.gov with your request.

Illinois Medicaid? Household Size*Maximum Income Level (Per Year)1$20,1212$27,2143$34,3074$41,4004 more rows

Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Medicaid coverage is available to adults under the age of 65 with household income up to 138% of the federal poverty level (FPL). For a single adult, that's $20,120 in annual income as of 2023.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232