Medicaid Provider Enrollment Overview

Utah offers 4 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Utah Department of Health and Human Services - Division of Medicaid and Health Financing. Currently, Utah is actively enrolling new home care providers.

The average enrollment timeline is 60-90 days from initial application to receiving your first client. With medium demand for home care services, Utah represents a solid opportunity for agencies looking to serve Medicaid clients.

Utah Medicaid Waiver Programs

Home care agencies in Utah can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

Aging Waiver

1915(c) Waiver

Services for elderly (65+)

2

New Choices Waiver

1915(c) Waiver

Transition services from nursing facilities

3

Community Supports Waiver

1915(c) Waiver

DD community support services

4

Acquired Brain Injury Waiver

1915(c) Waiver

Services for individuals with ABI

Utah Provider Requirements

To become a Medicaid provider in Utah, your home care agency must meet the following requirements:

  • Utah business registration
  • Personal Care Agency or Home Health Agency license from UDOH
  • Criminal background checks
  • Professional liability insurance
  • UDOH provider standards
  • Quality management

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in Utah:

1

Obtain Utah agency licensure

2

Apply for NPI

3

Complete Utah Medicaid Provider Enrollment

4

Register in MMIS

5

Complete waiver-specific certification

6

Execute provider agreement