MedicaidAdministrativeMedium impact
May 2025 Medicaid Information Bulletin
Utah Medicaid·UT·Government Programs
Effective date
May 1, 2025
We identified it
Jun 21, 2026
Summary
Utah Medicaid has updated its telehealth policies to explicitly allow audio-only visits for synchronous care, updated modifier 50 for bilateral procedures, and added new telepsychiatric consultation requirements. The Find a Provider directory will be enhanced with additional provider information requirements by July 1, 2025.
Action Required
By July 1, 2025: Providers must update their information in Utah Medicaid's PRISM system to include cultural/linguistic abilities, ADA accommodations, telehealth services offered, and new patient acceptance status. Immediately: Update billing systems to allow modifier 50 for bilateral procedures where appropriate. For telepsychiatric consultations, ensure requesting physician/PA is identified on claims and verify 14-day consultation rules are followed to prevent denials.