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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Attention: Claims Department. PO Box 45180. Salt Lake City, UT 84145-0180.
If approved for on-going Medicaid, retroactive coverage is allowed. CHIP is a state health insurance plan for children who do not have other health insurance and do not qualify for Medicaid. Depending on income and family size, children in uninsured Utah families may qualify.
A: With the new PRISM system, paper claims will no longer be accepted. The last day to submit paper claims will be February 22, 2023. Paper claims received on or after February 23, 2023, will be securely destroyed and no longer returned to providers or their vendors.
Appeal Rights UHCP, U of U Health Plans Group, and Individual Plans Appeals: Members have 180 days to appeal from Notice of Action Letter/EOB. UNI & Miners: Please contact appeal coordinators at 801-213-4008 or 833-981-0213.
1-888-222-2542 (Monday – Friday, 8a. m. – 5 p.m.)
6-2 Timely filing A claim must be submitted to Medicaid within 365 days from the date of service.
Medicaid is jointly financed through federal and state dollars, and is administrated by the state. Utah currently pays 30% of Medicaid costs, and the federal government pays 70% of Medicaid costs. Who Gets Medicaid in Utah? Medicaid eligibility levels determine who can receive coverage.