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MedicaidAdministrativeHigh impact

September 2023 Medicaid Information Bulletin

Utah Medicaid·UT·Government Programs
Effective date
Sep 1, 2023
We identified it
Jun 21, 2026
Days to comply

Summary

Utah Medicaid has implemented multiple changes including restarting auto-closure of provider contracts in January 2024, requiring $0.00 amounts for prior authorization requests, eliminating phone status requests (PRISM portal only), and beginning EVV penalties for Home Health Services in January 2024.

Action Required

Action needed
Immediately: Update all Fee-for-Service prior authorization submissions to include $0.00 in the Requested $ Amount field or claims will not process correctly. By January 2024: Ensure all Home Health Services have EVV records submitted within 3 months of Medicaid claims or penalties will be assessed. Stop using phone for prior authorization status requests - use PRISM portal only. Contact domain administrator if PRISM access needed.

Affected Billing Codes

T1001