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MedicaidBilling CodesMedium impact

July 2023 Medicaid Information Bulletin

Utah Medicaid·UT · Family Medicine, Pediatrics, Pharmacy·Government Programs
Effective date
Jul 1, 2023
We identified it
Jun 21, 2026
Days to comply

Summary

Utah Medicaid released its July 2023 Information Bulletin with multiple policy updates effective July 1, 2023, including new vaccine counseling codes (G0312-G0315) for EPSDT eligible members and updated pharmacy prior authorization submission requirements for complete documentation.

Action Required

Action needed
Immediately: Update billing system to include new vaccine counseling codes G0312, G0313, G0314, and G0315 for EPSDT eligible Medicaid members. Pharmacy staff must ensure all prior authorization requests include complete medication information, exact drug names, and mark 'Do Not Substitute' when brand products are required to avoid denials. Review all pending pharmacy prior auth requests for completeness.

Affected Billing Codes

G0312
G0313
G0314
G0315