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To verify your patient’s eligibility on the portal you will need the information off of the Medicaid card which includes member’s name, Medicaid ID and date of birth. A provider must also have a Provider ID (NPI or API) known to Medicaid.
To access PRISM Portal click here. Starting April 1, 2021, providers will need to go through a multi-factor authentication process to access the PRISM application. Please visit the links below for additional information:
We have an updated version of Eligibility Lookup Tool. Please update any bookmark you may have to https://elt.medicaid.utah.gov opens in a new tab.
Who is Eligible for Medicaid? Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. To learn more about the eligibility requirements, click here.
The PRISM system is available so providers can still access this information, as well as verify member eligibility online. Medicaid pharmacy providers: Learn more about the updated COVID vaccine administration fee, effective October 1, 2024.
There are four information systems available for providers to verify member eligibility and claim status for Utah Medicaid services: PRISM (https://prism.health.utah.gov/) - A portal that provides member eligibility, coverage information and claim status to providers.
Bringing our agencies together helps us better serve Utahns— with a more effective, seamless system of services and programs— so everyone in Utah has the opportunity to live safe and healthy lives.
Healthy U Medicaid is a health insurance coverage for Utah's vulnerable populations. Medicaid pays for medical services for the following: low-income pregnant women, children, elderly, have a disability, women with breast or cervical cancer, low-income adults and families.
Our eligibility specialists determine whether you qualify for Medicaid and can answer your questions related to the application process. Medicaid is a medical assistance program that helps individuals and families with low-income and limited resources.
Premier Access is proud to serve eligible Medicaid and CHIP members statewide in Utah. You care about your dental health—and we’re here to help you understand your coverage, maximize your benefits, and live a healthier life. Login. Search by mile radius, provider name, city, state, gender, and more. Explore resources for members and providers.