Utah Medicaid Program & Eligibility
Coverage, eligibility, and how to get Medicaid help in Utah.
Medicaid Expansion
State Coverage
Medicaid in Utah
UT Medicaid Eligibility
- Live in Utah
- Be a U.S. citizen, national, or a qualified immigrant with eligible immigration status
- Meet the income limit for the program that applies to you
Who's covered:
- Adults (Ages 19–64)
- Children under 19
- Your household income is at or below the limit for the specific program that applies to you
- Note: This program is designed for families where a parent is absent, has passed away, is unable to work due to illness or disability, or is working less than 100 hours per month.
- Pregnant Women: Covers pregnancy-related services through 12 months postpartum.
- Seniors and People with Disabilities: Covers adults who are 65 or older, blind, and people with disabilities.
- Individuals with Breast or Cervical Cancer: Covers women diagnosed through the Utah Cancer Control Program (UCCP).
Applying for Medicaid
You have a few options:
- Online: Apply online at mycase.utah.gov.
- By mail or fax:
- Download the application here.
- Mail or fax completed application to:
Department of Workforce Services
PO Box 143245, Salt Lake City, UT 84114-3245.
Fax: 1-888-522-9505.
- In person: Visit your local Department of Workforce Services (DWS) office.
- Find your local office here.
It helps to have the following ready for everyone in your household:
- Dates of birth
- Social Security Numbers
- Immigration documents (if applicable)
- Proof of income (pay stubs, W-2, 1099, or tax return)
- Current health insurance information, if any
After Applying
While your application is under review:
- The Department of Workforce Services (DWS) may contact you by mail or phone. They may request additional documents, such as proof of income or a birth certificate. Respond promptly to avoid delays.
- You can check your application status at mycase.utah.gov or by calling 1-866-435-7414.
If you're approved:
- Coverage may be retroactive, meaning you can request coverage for up to 3 months prior to the month of your application date.
- You'll receive a Medicaid card in the mail. Keep it safe and bring it to all medical appointments.
- Most members will enroll in a Medicaid managed care plan. If you have any questions about your benefits, you can call a Health Program Representative at 1-866-608-9422.
Staying enrolled:
- Report changes in income, household size, or address to DWS promptly by updating your information on mycase.utah.gov or calling 1-866-435-7414.
- Your coverage must be renewed annually. Watch for renewal notices and respond on time to avoid losing coverage.
Income Limits
Income limits for Utah Medicaid depend on your household size and what program applies to you.
What’s Covered
Doctor and Hospital Visits
Preventative Care and Screenings
Mental Health and Substance Use Treatment
Prescription Drugs
Maternity and Newborn Care
Dental and Vision Services
Hospice Care
Emergency Transportation Services
Need help with Medicaid in Utah?
Below are some of the most commonly asked questions.
Medicaid in North Carolina is a public health insurance program that provides free or low-cost health coverage to eligible low-income individuals and families.
If your income is too high for Medicaid, you may still qualify for subsidized coverage through healthcare.gov, the federal health insurance marketplace. Visit healthcare.gov to explore your options.
You can apply online through NC ePASS at epass.nc.gov.
Applications can also be submitted by phone, by mail, or in person at your local Department of Social Services (DSS) office.
Filling out government forms (paper or digital) can be confusing. We know the anxiety of missing important mail from the state. We built Fortuna to take the stress out of health plan coverage.
We provide your own dedicated navigator available by phone and chat to help you out!
For most people, Medicaid in North Carolina has no monthly premium and very low or no out‑of‑pocket costs. Some services may require small copayments, but many groups (such as children and pregnant individuals) are exempt.
Medicare is health insurance that generally covers people aged 65+. Medicaid covers people of all ages if you make below a certain income or face hardship based on other circumstances like disability.
Fortuna focuses on Medicaid. If you need Medicare support, we can help you enroll onto a Medicare-Medicaid program.
Yes, if Fortuna is available through our partner health plan and providers. Please contact your insurer or provider for more information.
Yes, Fortuna is only available through providers and insurers. Please contact us at info@fortunahealth.com for more information.
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