is a program which covers medical expenses for certain groups of
people who have limited income and resources. Eligibility for Medicaid
programs is determined by eligibility workers in the Employment
Centers at the Department of Workforce Services (DWS).
Medical services are paid for by health plans along the Wasatch front and by Medicaid
(called fee-for-service) in the rural areas. Limited time benefits or coverage in past months may also be paid for by Medicaid.
A Health Program Representative (HPR) will help you make a health plan selection or find a Primary Care Provider (PCP).
For more information, see the Medicaid Member Guide or contact an HPR.
Services available will vary based on the program for which the person qualifies. There are two Medicaid coverage plans:
Traditional and Non-Traditional. Each plan has a different scope of services. Even if a service is covered, the amount or duration
of the service may be limited and a co-pay or co-insurance may be required. (PCN is listed seperately.) For more information, please see the Co-pay Chart.