MedicaidBilling CodesMedium impact
July 2025 Medicaid Information Bulletin
Utah Medicaid·UT · Dentistry, Oral & Maxillofacial Surgery, Anesthesiology·Government Programs
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Utah Medicaid updated multiple billing and coverage policies effective July 1, 2025, including new billing code G0330 for dental procedures requiring monitored anesthesia, split/shared E&M visit guidelines, weight loss medication coverage updates, and various prior authorization changes. Providers must register for upcoming statewide training sessions starting August 19.
Action Required
By August 19, 2025: Register for Utah Medicaid statewide provider training using the Google Form link. Immediately: For dental procedures requiring monitored anesthesia in hospital outpatient departments and ASCs, bill using code G0330 instead of CPT 41899. Submit G0330 claims to fee-for-service Medicaid, not managed care plans. Update billing software to route G0330 claims appropriately.