University of Utah Health Plans (U of U Health Plans) contracts with physicians and other health care professionals and facilities to offer provider networks essential to the delivery of health care and services to our members. U of U Health Plans is committed to the “quadruple aim” of improving the patient and provider experience, improving the quality of care and the health of populations, and reducing the cost of care.
We recognize the importance of population health and payment reform and have developed extensive care management and value-based payment programs that improve health and align provider reimbursement with value and positive outcomes.
Healthy U Medicaid– Medical
- A Medicaid Accountable Care Organization (ACO) plan and network available to eligible Medicaid members all over Utah.
Healthy U Behavioral– Summit County
- Healthy U Behavioral exists for ANY Medicaid eligible Summit County resident, regardless of their medical coverage.
Healthy U Integrated– Medical and Behavioral
- Effective January 1, 2020, Healthy U Integrated is for childless adults with income up to 138% ($17,236 for an individual or $35,535 for a family of four) of the Federal Poverty Level, or Parents with income from 45% - 138% of the Federal Poverty Level, who live in Weber, Davis, Salt Lake or Utah Counties.
- A commercial narrow network along the Wasatch Front available to employer groups.
- A commercial network available for members who need statewide access in Utah and surrounding areas for their employees.
- A narrow network featuring University of Utah Health Hospitals and Clinics, and supplemented with strategic partners to ensure members have adequate access to services. Only Health Insurance Marketplace® Individual/Family members within the targeted footprint in Salt Lake County are eligible to use the U Health Plus network.
A commercial medical network used for members in northern Nevada utilizing Universal Health Network.
A commercial dental network used for members in northern Nevada utilizing Diversified Dental Services.
- A Coordinated Health Care Model, in partnership with the University Neuropsychiatric Institute, to meet the medical and mental health needs of people with developmental disabilities. This plan utilizes the Healthy U network.
University of Utah Health Plans has developed COVID-19 Provider Information to keep you up-to-date with the latest operational and benefit updates as they apply to the virus. Visit the site often to stay current with the latest information. Please share this link with others in your office who may rely on the information.
Our Provider Connection newsletter is also available online. If you haven’t already, please subscribe—via the link at the bottom of the page—to receive notice when new editions are available. Encourage others in your office to subscribe to receive notice, as well. From clinical to administrative, there’s something for everyone.
Information on COVID-19 coverage for the uninsured.
Like you, U of U Health Plans is diligently working to ensure the health and safety of our members as we all navigate through the Coronavirus (COVID-19) pandemic. Our foremost priority is, as always, the health and well-being of our members, providers, and communities. Our hearts go out to all people in the US and worldwide who are suffering directly from COVID-19, or indirectly by the measures that have been taken to contain its spread.
This interim COVID-19 bulletin includes information about benefit and operational decisions that have temporarily been updated in support of COVID-19 testing and treatment. We highly encourage the use of telemedicine services and virtual visits to help avoid the further spread of the virus. We will continue to review, monitor, and enhance this information to keep you informed about this changeable environment. Additional updates will be posted as they become available.
We’ll also notify you of updates regarding this and other U of U Health Plans information through our provider newsletter, Provider Connection. Accessing the newsletter online makes it easier to share with everyone in your office. To ensure you receive the latest newsletter as soon as it’s available, subscribe to our email list at the bottom of the newsletter web page. We promise we won’t spam you, and we’ll never share your information.
Public Health Emergency Unwinding Updates
REMIND MEDICAID MEMBERS TO UPDATE STATE CONTACT INFORMATION
– At the beginning of the COVID-19 pandemic, the federal government issued a Public Health Emergency (PHE) allowing for continuous coverage of Medicaid without requiring beneficiaries to complete an annual review. The PHE may end later this year, which means Medicaid needs current beneficiary information on file to resume the annual reviews. We need help making sure eligible beneficiaries do not lose their Medicaid coverage when the PHE ends.
WHY IT MATTERS
– Uninsured people are markedly less likely than Medicaid beneficiaries to get care, and significantly more likely to delay or go without needed care, according to data from the Kaiser Family Foundation. Reminding patients to update their contact info with Medicaid helps ensure these patients have continuity of care. It’s a chance to show concern and empathy for the patient and to build the doctor/patient relationship.
Additionally, payment for services provided to Medicaid beneficiaries is sent directly to provider offices. If a Medicaid member’s eligibility is not renewed, you may no longer see that patient or be faced with trying to recoup payment for their uninsured services.
HOW YOU CAN HELP
– Providers and frontline staff can encourage all Medicaid patients to update their contact information with the Department of Workforce Services (DWS), especially if the patient has moved within the last two years. This ensures that DWS can contact them when it’s time to complete their review. To update their contact info, Medicaid patients can call DWS at 866-608-9422 or visit jobs.utah.gov/mycase.