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MedicaidAdministrativeMedium impact

January 2020 Medicaid Information Bulletin

Utah Medicaid·UT·Government Programs
Effective date
Jan 1, 2020
We identified it
Jun 21, 2026
Days to comply

Summary

Utah Medicaid's PRISM provider enrollment system will undergo major updates in Summer 2020, including changes to enrollment processes, automatic closure for expired licenses, and temporary enrollment freeze for new providers. The bulletin also covers various billing code updates, policy changes for mental health services, and pharmacy program updates.

Action Required

Action needed
By Summer 2020: Update provider addresses in PRISM system to ensure receipt of critical correspondence. Complete re-validation processes timely to avoid automatic enrollment closure. Keep professional license information current including provider type, specialty, and end dates. Contact Provider Enrollment Team for re-enrollment processes. Consider participating in system testing by emailing prism@utah.gov.