MedicaidAdministrativeHigh impact
May 2023 Medicaid Information Bulletin
Utah Medicaid·UT·Government Programs
Effective date
May 1, 2023
We identified it
Jun 21, 2026
Summary
Utah Medicaid launched a new claims payment system called PRISM on April 3, 2023, replacing systems used for over 40 years. The system includes new provider enrollment, claims processing, prior authorization capabilities, and eliminates paper claims processing entirely.
Action Required
Immediately: Complete PRISM EDI enrollment including Mode of Claim Submission, Associate Billing Agent, and 835/ERA Enrollment Form steps. Update trading partner information to prevent claim rejections. Submit all electronic claims through PRISM system only - paper claims are no longer accepted. Use correct fax numbers for documentation: Manual Review (801-536-0463), Emergency Only Program (801-536-0475), PPC and Timely Filing (801-536-0974). Complete provider revalidation by checking individual cycle dates in PRISM to avoid automatic closure.