Medicaid plans › Utah
Utah Medicaid Managed-Care Plans for Providers
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
Utah Medicaid is run by the Utah Department of Health and Human Services. 260,258 people were enrolled in its 4 managed-care plans in 2024. To see their patients, a provider enrolls with Utah Medicaid through PRISM, the Utah Medicaid provider portal, then applies to each plan separately.
| Plan | Members (2024) | Share | Parent |
|---|---|---|---|
| Select Health | 104,458 | 40.1% | In-state |
| University of Utah Health Plans (Healthy U, HOME) | 62,072 | 23.9% | In-state |
| Molina | 61,210 | 23.5% | Molina Healthcare |
| Health Choice | 32,518 | 12.5% | In-state |
How Joining Works in Utah
First the state: Utah Medicaid enrollment through PRISM, the Utah Medicaid provider portal, which gives you the Medicaid ID every plan asks for. Then the plans: each takes its own participation request and credentials you from your CAQH ProView (DataSpring) profile. 1 parent company runs plans here, and plans owned by the same company still contract state by state.
How to Join Each Utah Plan
Molina (Molina Healthcare): Molina credentials each state separately. The contract request goes through the state's Molina provider site and requires an active state Medicaid enrollment; credentialing uses your CAQH ProView (DataSpring) profile.
Select Health, University of Utah Health Plans (Healthy U, HOME), Health Choice: This plan is run in-state rather than by a national carrier, so participation requests go to the plan's own provider relations or contracting team, listed on its provider website.
Also in Utah: Medicare, Utah Medicaid and commercial credentialing.
Questions
Which Utah Medicaid plan is the largest?
Select Health, with 104,458 members in 2024, 40.1% of the 260,258 people enrolled in Utah's Medicaid managed-care plans.
Do I have to join every Utah Medicaid plan?
No. Each plan is a separate contract. Practices usually start with the two or three largest plans in their county, then add others as patients ask for them. All of them require Utah Medicaid enrollment first.
Membership from KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Plans change when the state rebids its contracts; we confirm the current list on every file.