Health Choice Utah
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Our Philosophy

At Health Choice Utah, we are committed to a collaborative approach with physicians, hospitals and all other providers in the medical communities of Davis, Salt Lake, Utah and Weber counties.

Our team brings an open vision to Utah. We believe that those who provide care should be the leaders in creating and constructing new, better and less invasive mechanisms for the delivery of the care they provide. We are provider-owned and we understand both the rewards and difficulties of managed care and health plan/provider relationships.

We believe our members deserve the highest quality medical care while being treated with both compassion and respect. Assisting you so that you can devote your time to providing quality patient care is one of our highest priorities. Our commitment to you is to support the doctor-patient relationship by streamlining the delivery of care.

We are inviting Utah physicians, hospitals and ancillary providers who have a proven track record of delivering quality, compassionate care to become part of the Health Choice family.

What We Offer Our Physician Network

Health Choice Utah brings the expertise and road maps necessary to understand, participate in and maximize the value of the sweeping changes affecting the delivery of health care.

We offer real-time tools, technology and up-to-date information to our physicians and providers. We will assist and offer guidance to physicians and hospitals for the purpose of building partnerships in the form of Accountable Care Organizations (ACO), patient-centered medical homes and other entities that will maximize quality and reward performance.

How We Assist Your Practice

  • We are committed to providing you with tools to help you effectively and efficiently manage the care of the individuals you serve through Health Choice Utah.
  • Our medical director, Arlen K. Jarrett, M.D., FACOG, is not an insurance administrator. Dr. Jarrett is a practicing physician in Utah and he understands the daily concerns and issues you face every day.
  • We work closely with your team to streamline and expedite prior authorization by minimizing the number of procedures requiring prior authorization. Many of the items still on our abbreviated prior authorization list ask for notification only.
  • Our Transition of Care Program is unique to the industry. Upon hospital discharge, we initiate an interdisciplinary plan of care which can include assessment of home care needs, follow-up with home care providers, medication reconciliation, scheduling and transition to case management and disease management.
  • Customer service is the fabric our organization. Our internal infrastructure is designed to provide your patients speedy access to customer service representatives and to expedite claims processing.

The Health Choice Utah Van

At Health Choice Utah, we are as passionate about serving our community as you are. Health Choice partners with community organizations, primary care physician practices and community health clinics to improve health literacy through the Health Choice Utah Van. For more information about the Health Choice Utah Van, click here.

Choose Health Choice Utah.

Join our group of quality physicians and providers. To become a member of our panel, call 1-877-358-8797 and schedule a visit with our Utah team.

News Alert: Physician and VFC Enhancement Payments

Beginning January 1, 2013 and continuing through December 31, 2014, the Centers for Medicare and Medicaid Services (CMS), will allow the state to increase payments to qualifying physicians for E&M services up to the Medicare rates and also increase the VFC admin rate allowed. To read the full article, click here.

To access the Physician Enhancement Self-Attestation form click here.

Please be sure to use the individual NPI in the self-attestation as group NPIs will not be accepted in the final determination of eligible physicians.

News Alert: For providers and Medicaid recipients in Utah and Weber counties

We are pleased to announce that Health Choice Utah will begin serving Medicaid enrollees in Utah and Weber counties on Jan. 1, 2013. We have worked hard to develop a network of more than 3,000 physicians and providers.

In addition, Medicaid recipients can obtain hospital and ambulatory services as follows:

  • Hospitals: Any hospital accepting Medicaid recipients.
  • Emergency Services - All hospitals.
  • Elective Procedures - Any hospital the recipients' physician admits to.

For more information about Health Choice providers in Davis, Salt Lake, Utah or Weber counties, please contact Member Services at 877-358-8797 (toll-free).

Provider Notices

Enhanced Application of Coding and Reimbursement Notice

Health Choice ICD-10 Transition

Notice of Non-Traditional Medicaid Cost Sharing Changes

Notice About Privacy

Health Choice Utah

For information and assistance, call toll-free:
1-877-358-8797.

Prior Authorization Fax Line:
1-877-358-8793

Language or ASL interpretation services:
1-877-358-8797

Stork Program:
1-855-712-5090

Hours of Operation

Provider Services
Monday – Friday
6 a.m. – 6 p.m.

Prior Authorization
Monday – Friday
5 a.m. – 10 p.m.

Claims
Monday – Friday
8 a.m. – 5 p.m.

Member Services
Monday – Friday
6 a.m. – 6 p.m.

For State-Paid Benefits

To access behavioral health services, contact:

  • Davis County:
    Davis Behavioral Health:
    801-773-7060
  • Salt Lake County
    Optum Health:
    877-370-8953 (toll-free)
  • Utah County:
    Wasatch Mental Health:
    801-373-4760
  • Weber County:
    Weber Human Services:
    801-625-3700

To access dental or chiropractic services, contact:

  • Health Program Representative:
    866-608-9422 (toll-free)
  • Medicaid Information Line:
    800-662-9651 (toll-free)
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