Client contacts the Department of Health Administrative office:
(currently Justin Wadman, 801-538-6445 or email firstname.lastname@example.org).
If DWS receives the "Maximum Out of Pocket" form (MOOP), forward by mail or fax to:
Department of Health
Attn: Justin Wadman - BMHC
PO Box 143107
Salt Lake City, UT 84114-3107
If the form has already been imaged to the case record, send an email to:
email@example.com and include "MOOP" in the subject line and in the body of the email, please provide the case name and case number.
Maximum out of pocket amount owed will be verified and corrected to include premium late fee
o Co-pays are not required for the remainder of the Certification Period if the maximum out of pocket amount is met.
o MMIS system is updated to show "No Co-Pays" for applicable months in the certification period, the CHIP health plans are notified electronically.
o The client will continue to use the same medical card for future months of eligibility remaining in the certification period.