MedicaidPrior AuthMedium impact
November 2025 Medicaid Information Bulletin
Utah Medicaid·UT · Psychiatry, Family Medicine, General Practice +2 more·Government Programs
Effective date
Nov 1, 2025
We identified it
Jun 21, 2026
Summary
Utah Medicaid November 2025 bulletin introduces multiple policy changes including a new Justice Reentry Initiative providing 90-day pre-release coverage for inmates, residential treatment prior authorization requirements, and updates to provider manuals for various specialties. Key changes affect behavioral health services, autism spectrum disorder services, and DME coverage.
Action Required
By December 1, 2025: Behavioral health providers must implement unlicensed provider supervision changes - supervisors must complete monthly LEIE and SAM database checks and maintain documentation. By November 1, 2025: Residential treatment facilities must obtain prior authorization for all mental health and substance use disorder services. Review updated provider manuals for autism spectrum disorder services, vision services, and rural health clinics for policy clarifications and terminology changes.