Medicaid Benefits

Dental

Mental Health

Transportation

CHEC

Tobacco Cessation

Pharmacy

Benefit List

Restriction

Emergency Only

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Medicaid 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 is also paid for by Medicaid. A Health Program Representative (HPR) will help you make a health plan selection. For more information about choosing a health plan, 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, see the Benefit Comparison Chart.

 

Medicaid Information