Health Choice Utah wants you and your family to live a healthy life by making smart, healthy choices.
Eating right, exercise, getting shots for your children and following your doctor’s advice are part of living a healthy life. When you adopt a healthy lifestyle, you become a more positive role model for other people in your community and in your family, particularly children. As a parent, your healthy choices will teach your children to make healthy choices starting at a young age.
Health Risk Assessment
If you are a new member of Health Choice Utah or if there has been a change to your healthcare (such as a hospitalization), one of our care coordinators will call you to ask you questions in order to assess your health. After the health assessment, if the care coordinator finds a health risk that we can help you manage, you may be offered enrollment in a healthcare management program which is designed to help you stay healthy.
Health Choice Utah has a staff of nurses and healthcare professionals that may be assigned to help you and/or or a family member get the healthcare you need. Our staff works closely with your primary care physician. This is a service that we offer to help you better understand your health condition, medication or any other services you might need to make you better or keep you healthy. If you have questions, please contact Member Services.
Child Health Evaluation and Care Program (CHEC)
Health Choice Utah wants to help you keep your children healthy. Many health problems begin during childhood. The good news is that most of these problems can be prevented through early exam and treatment.
Health Choice Utah has a special program for babies, children and youth through age 20. This program is called the Child Health Evaluation and Care Program, or CHEC. CHEC is Utah’s Medicaid Program for children from birth through age 20. Please note that well-child/CHEC services are not covered under the Non-Traditional plan.
If you are under age 21 or have children under age 21, please call your Health Choice Utah doctor or Member Services to get information about CHEC services. Health Choice Utah provides all CHEC services including well-child, shots and exams. Our goal is to make sure that your children stay healthy and grow up to become healthy adults.
Children may need other types of care. Some of this care may be for physical, occupational, speech therapy, medical equipment, including wheelchairs or nurses in the home. Your doctor needs to call Health Choice Utah for approval for these services before you can get them. A well-child visit is synonymous with a CHEC visit and includes all screenings and services described in the CHEC periodicity schedule.
Health Choice Utah may send you reminder letters about the CHEC/well-child visits for your child. Make an appointment with your child’s doctor for the following well-child visits to help keep your child healthy:
- Two – four days old.
- One, two, four, six, nine, 12, 15, 18 and 24 months old.
- Yearly between the ages 10 through 20 years.
If your doctor wants to see your child more often than what is listed above for CHEC/Well-Child visits, always follow your doctor’s advice.
Adult Preventive Care
Contact your doctor and ask when you should get tests and exams, such as:
Screenings for Woman
- Yearly mammogram, pap smears, colonoscopies (For members 21 and over, well visits are no longer covered. Please see the excluded benefits table in the Member Handbook. Please contact Member Services for more information on pap smears, mammograms and colonoscopies.)
- Chlamydia Screening.
- Bone Density.
Screenings for Men
- Prostate Cancer Screening.
Health Choice Utah covers family planning services. This service helps you plan when you want to have a baby or prevent pregnancy. Family planning services include information, treatment and counseling about birth control. You can get family planning services from any Primary Health Choice Utah doctor or any Medicaid doctor without co-pay. You don’t need a referral.
To make an appointment for Family Planning, call your primary care provider (PCP). There are no co-payments for Family Planning Services. For more information about family planning services, please see the Member Handbook.
Pregnancy and Maternity Services
If you are pregnant, it is very important for you to keep your eligibility up to date. See your OB doctor as soon as you think you are pregnant. Also, notify your local DWS office as soon as you find out that you are pregnant.
Be sure to report the birth to your eligibility worker to make sure that your health coverage continues for you and your child. Call a Member Services Representative to arrange for a doctor for you and your baby. Be sure to follow up with your OB doctor for your check-up after your baby is born.
Pregnant women can register for our Stork Program and receive information and guidance from our maternity nurses to help them have a healthy pregnancy and obtain the community resources they need for their family. In addition, the Stork Program offers incentives for maintaining quality care such as gift cards to pregnant women who begin prenatal care within the first 12 weeks of their pregnancy and who maintain their regular appointments with their physician throughout their pregnancy.
For information about the Stork Program, call 1-855-712-5090.
Good dental health is important to the overall health of you and your family. Dental health may be covered by the general Utah Medicaid plan.
For more information about dental health for you and your family, click here to visit the UDOH Oral Health Program website.
To learn more about Medicaid coverage for dental health, call:
Health Program Representative
Medicaid Information Line