Utah Medicaid is the state and Federal partnership that provides medical coverage to eligible needy persons. The purpose of Utah Medicaid is to improve the health of people in Utah who might otherwise go without medical care for themselves and their children.

Program NameUtah Medicaid
Expanded MedicaidYes
Websitehttps://medicaid.utah.gov/
Phone800-662-9651
Apply Onlinehttps://jobs.utah.gov/mycase/
Appeal a Denialhttps://medicaid.utah.gov/hearings/
Find a Local Officehttps://jobs.utah.gov/jsp/officesearch/

Eligibility Requirements

To be eligible for Utah Medicaid, you must be a resident of the state of Utah, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)
1$17,131
2$23,169
3$29,207
4$35,245
5$41,284
6$47,322
7$53,360
8$59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

AmbulanceMental health services
Birth controlNursing home
ChiropracticOver-the-counter drugs
Home healthPersonal care
HospicePhysical/occupational therapy
HospitalPrescriptions
Lab and X-raySpecialists
Maternity and midwife servicesSpeech and hearing
Medical suppliesVision

Copayments

Emergency room for non-emergency$8
Inpatient hospital$75
Optometrist$4
Pharmacy$4 (max $20 per month)
Physician Visits$4 (max $100 per year or 5% of income, whichever is less)
Urgent Care
Podiatrist
Outpatient Hospital Services

The following Utah Medicaid members do not have copays:

  • American Indians
  • Pregnant women
  • Alaska Natives
  • Members eligible for EPSDT
  • Members on hospice care

The following covered services do not have copays:

  • Family planning
  • Lab services
  • Immunizations (shots)
  • Radiology
  • Preventative services
  • Tobacco cessation services
  •  Outpatient mental health/substance use disorder treatment