Doctor high-fiving young patient
Updates, Forms, Newsletter, Education & more.

Resources

Doctor high-fiving young patient
Updates, Forms, Newsletter, Education & more.

Resources

On This Page

Printable PDF Forms
Reference & Training Healthy U CHIP Provider Manual Print PDF Form >
Reference & Training Identifying Our Members Flyer Print PDF Form >
Credentialing Facility Credentialing Infographic Print PDF Form >
Credentialing Provider Credentialing Infographic Print PDF Form >
Credentialing Organizational Provider Credentialing Application Print PDF Form >
Credentialing Credentialing Policy Print PDF Form >
Credentialing Denial, Termination and Fair Hearing Plan Policy Print PDF Form >
Preservice Authorization Request for Preservice (Prior Authorization) Print PDF Form >
Preservice Authorization Request for Inpatient, ICF, SNF, Acute Rehab and LTAC Print PDF Form >
Preservice Authorization Request for Behavioral Health/Substance Treatment Print PDF Form >
Claims & Appeals Request to Reopen an Organizational Determination for Medical Review Print PDF Form >
Preservice Peer to Peer Review Request Form (PDF) Print PDF Form >
Preservice Peer to Peer Review Request Form - Pharmacy (PDF) Print PDF Form >
Claims & Appeals Consent Form Print PDF Form >
Claims & Appeals Healthy U Sterilization Hysterectomy Form Cover Sheet Print PDF Form >
Claims & Appeals Medical Claim Form Print PDF Form >
Member Support Authorization for Release of Information Print PDF Form >
Reference & Training Healthy U Behavioral Preferred Practice Guidelines Print PDF Form >
Claims & Appeals Open Negotiation Form (No Surprises Act) Print PDF Form >
Preservice Upcoming Changes to Codes Requiring Prior Authorization Print PDF Form >
Claims & Appeals EDI Form for 835, 837 (Trading Partner Setup) & EFT Enrollment (Electronic Funds Transfer) Print PDF Form >

References & Training

Resource Description Link
Birth Doula Services for Healthy U Medicaid and Health Choice Utah A training presentation developed by University of Utah Health Plans Provider Relations to help providers understand the rollout of doula service coverage for Healthy U Medicaid and Health Choice Utah, along with the Q&A from the session that highlights the questions asked and the answers provided.  View Presentation > 

View Q&A >
Provider Portal Training A guide on using the Provider Portal for verifying members, preservice authorizations, claims, and managing your office rosters. View Presentation >
Understanding and Navigating Prior Authorizations & Appeals A comprehensive training presentation created by University of Utah Health Plans Provider Relations to guide healthcare providers through the processes of prior authorizations and appeals. View Presentation >
Fraud, Waste & Abuse Provider Training

After completing this training, you should be able to:

  • Understand the definitions of fraud, waste, and abuse (FWA) as they pertain to state and federal healthcare programs
  • Recognize laws, regulations, and penalties related to FWA
  • Recognize methods of preventing, detecting, and correcting FWA
  • Know how to report suspected FWA
 Download or View Training >
Cultural Sensitivity Training Cultural competency is the ability to understand, respect, and communicate with individuals from diverse cultural backgrounds. Download Training >
Doula Services Training A comprehensive guide to doula services available through University of Utah Health Plans, including eligibility, certification, and billing requirements. This resource helps doulas and healthcare providers navigate contracting, claim submission, and benefit limits. Download Training >

Clinical Practice Guidelines

Position Statement: University of Utah Health Plans adopts guidelines to help practitioners and members make decisions about appropriate care for specific medical and behavioral health conditions. The following guidelines are based on scientific evidence, and where evidence is lacking, on a consensus of panel experts, and are supported by University of Utah Health Plans. Guidelines are not a substitute for professional medical advice.

Behavioral Health Guidelines

Category Resource
Depression APA Clinical Practice Guideline for the Treatment of Depression
Perinatal Depression Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum
Attention Deficit Hyperactivity Disorder (ADHD)- Pediatrics Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
Attention Deficit Hyperactivity Disorder (ADHD)- Adults European Consensus Statement for the Diagnosis, Management, and Treatment of Adult ADHD
Substance Use Disorder American Academy of Family Physicians Management of Substance Use Disorders
Substance Use Disorder – Level of Care Criteria American Society of Addition Medicine (ASAM) Level of Care Placement Criteria
Opioid Prescribing CDC Guideline for Prescribing Opioids for Chronic Pain

Medical Guidelines

Category Resource
Asthma Global Initiative for Asthma (GINA) Report, Global Strategy for Asthma Management and Prevention
Congestive Heart Failure Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Failure Society of America
Hypertension Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report from the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
Low Back Pain AAFP Clinical Recommendations- Imaging for Low Back Pain- Choosing Wisely®
Diabetes and Kidney Disease Kidney Disease Outcomes Quality Initiative (KDOQI) Clinical Practice Guideline for Diabetes and Chronic Kidney Disease

Preventive Health Guidelines - Child

Preventive Health Guidelines - Adult

 

 

 

Provider Connection Newsletters

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.

 
2026 May 2026 Newsletter View Newsletter

University of Utah Health Plans Provider Networks

Healthy U*

  • A Medicaid physical health network available to eligible Medicaid members throughout the entire state of Utah.

Healthy U Behavioral*

  • A Medicaid mental health and substance use network available to eligible Medicaid members in Davis, Salt Lake, Utah, and Weber counties. This network of behavioral health providers and organizations is combined with the Healthy U network to create Integrated Healthy U. This network is also available to eligible Medicaid members in Summit county.

* If your clinic or organization provides both physical health and behavioral health services AND you are located within the geography listed, mark both networks.

Healthy U CHIP

  • A statewide provider network to support the Children’s Health Insurance Program, a state-sponsored physical and behavioral health plan for children not covered by other health insurance.

Healthy Preferred

  • A provider network for employer groups along the Wasatch Front from Cache to Utah counties and Summit to Tooele counties.

Healthy Premier

  • A provider network for employer groups in Utah and Southeastern Idaho. It is also available on the Utah Individual Marketplace Exchange.

U Health Plus

  • A narrow commercial provider network offered within Salt Lake and Davis counties.