MedicaidAdministrativeMedium impact
September 2024 Medicaid Information Bulletin
Utah Medicaid·UT·Government Programs
Effective date
Sep 1, 2024
We identified it
Jun 21, 2026
Summary
Utah Medicaid's September 2024 bulletin introduces multiple changes including new dual status codes for Medicare-Medicaid eligibility verification, removal of required CPT code T1015 for RHC/FQHC billing, new justice-involved waiver coverage, and updates to various provider manuals and coverage policies.
Action Required
By September 1, 2024: RHC and FQHC providers must stop billing CPT code T1015 as required on claims - update billing system rules to remove this requirement. Billing teams should review the updated 270/271 eligibility responses for new dual status codes (DSC01-DSC08) to properly identify Medicare-Medicaid dual eligible members. Update staff training on balance billing prohibitions and review the YouTube training video 'Balance Billing Policy for Medicaid Providers'.