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Utah Department of Health Banner
Utah Medicaid Autism Waiver
Utah Medicaid Autism Waiver Online Application

The online application is only available during open enrollment. Open enrollment will begin November 17, 2014 and will remain open until December 7, 2014.

If you experience problems with the Online Enrollment during the open enrollment period, please call 801-538-6357

Please join the Autism Waiver Listserv to keep up-to-date on news and information regarding the Autism Waiver.

Click here for Online Enrollment

Click here for PDF Enrollment Application

Haga clic aquí para inscripción internet

Haga clic aquí para Solicitud de Inscripción PDF

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