Standing Reminder: Check Member Eligibility and Benefits

As has always been best practice regarding Medicaid enrollees, remember to verify eligibility prior to every visit. Since Medicaid eligibility can change from month to month—or during the month—verify eligibility in the month of the visit, and no more than 10 days prior to the visit. There are now three methods by which eligibility can be verified:

• PRISM portal (preferred)
• Medicaid Eligibility Lookup Tool
• Phone:
  • Salt Lake City area – 801-538-6155
  • Utah, Idaho, Wyoming, Arizona, Colorado, Nevada, and New Mexico – 800-662-9651
  • From other states – 801-538-6155

SEE A DISCREPANCY BETWEEN PRISM AND PROVIDER PORTAL OR EPIC?

Send us a heads-up at uuhpenrollment@hsc.utah.edu to help us keep our files aligned with PRISM.