Planes de salud de Medicaid en Utah mandatory ACO counties, UT

Servicios para miembros: 1-877-358-8797

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• Stork Program pregnancy support

  Health Choice Utah's Stork Program gives pregnant members extra support and education during and after pregnancy.

• Health Choice Utah Obtenido el 2026-07-17
• Health Choice Utah Obtenido el 2026-07-17
• Health Choice Utah Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, areas.mandatory-aco-counties.plans, and explainer.model are all quote-gate verified against a captured Utah Department of Health and Human Services Managed Care page (medicaid.utah.gov/managed-care/), which states directly: 'Members who live in Utah, Salt Lake, Davis, Weber, Box Elder, Cache, Iron, Morgan, Rich, Summit, Tooele, Wasatch, or Washington County, must choose a health plan. Members who live in any other county in Utah have the option of selecting a health plan or using the Fee for Service Network,' and separately lists the four current ACOs with phone numbers and websites. enrollment.phone is quote-gate verified against a captured Health Program Representatives page (medicaid.utah.gov/health-program-representatives), which states 'To contact an HPR, please call 1-866-608-9422.' Both snapshots fetched cleanly with a plain fetch; no Cloudflare or host-allowlist block was hit for medicaid.utah.gov (unlike GA's enrollment portal). enrollment.choice_window_days is an honest not_found: search-engine summaries suggested a 90 day initial window and a mid-May to mid-June annual change period, but no captured .gov snapshot states either figure in a quotable sentence, and a PDF member guide fetch attempt returned unreadable binary content, so no specific day count is asserted anywhere in the file. Geography is modeled as partial with ONE service_area (slug mandatory-aco-counties) covering the 13 counties the state's own page names as mandatory choose-a-plan counties, all four ACOs listed as its roster: the managed care page names the same four plans as a single flat list with no per-county breakdown for the general ACO product, so a single area is the honest read. I deliberately did not use 'Wasatch Front' as the area name: that term historically described only the original 4 rollout counties (Weber, Salt Lake, Davis, Utah), and current mandatory enrollment has since expanded to 13 counties including Washington and Iron, which are not part of the Wasatch Front region geographically, so using that name would misdescribe the current list; the file instead uses the plain functional name the source itself supports. I also considered, and rejected, modeling Utah Medicaid Integrated Care (UMIC) as a second service area: the same managed care page shows a separate table where Healthy U does not participate in Washington County's UMIC product, which would be a real roster difference, but UMIC only applies to the narrower Adult Expansion Medicaid subpopulation in 5 of the 13 counties, layered on top of the general ACO product everyone else uses; modeling it as a general-audience service area would misrepresent who it actually applies to, so it is left out and only the general ACO roster (uniform across all 13 mandatory counties per the source) is modeled. Counties outside the mandatory 13 are described only in prose (the explainer): the source says members there may optionally pick one of the same four plans or use the Fee for Service Network, but I found no source stating which of the four ACOs actually serve which specific non-mandatory county, so no second service_area or plan_ids claim was made for that region, matching the never-guess rule. Utah's pharmacy program launched a 'Hybrid Unified Preferred Drug List' effective January 1, 2026 that Utah Medicaid's own hupdl explainer page describes as one shared list across all four managed care plans, but Utah Medicaid's own preferred-drug-list landing page separately tells managed care members to visit each ACO's own website for plan-specific preferred drug lists rather than linking a single unified tool; given that direct contradiction between two same-publisher pages, and that the alignment is stated elsewhere as covering only certain drug classes DHHS selects (not a full single formulary), each plan record here uses its own formulary URL rather than asserting one statewide formulary_url the way CA/TX do. Per-plan member_phone for Health Choice Utah, Healthy U, and Molina Healthcare of Utah match the numbers listed on Utah Medicaid's own managed care page; SelectHealth Community Care's member_phone instead uses the number given on SelectHealth's own site (855-442-3234) since it differs from the number on Utah Medicaid's page (1-800-538-5038), noted on that plan's quality.note. Provider directory and formulary URLs for Health Choice Utah, Healthy U, and SelectHealth Community Care were confirmed by directly loading each plan's own site; Molina Healthcare's own site (molinahealthcare.com) returned an automated bot-protection block on every fetch attempt during authoring, so its provider directory and formulary URLs were located via search indexing only and could not be independently confirmed by loading page content, noted on that plan's quality.note. extra_benefits are populated only where independently confirmed on a plan's own site (Health Choice Utah's Stork Program; Healthy U's nurse line and virtual prenatal visits); Molina and SelectHealth Community Care ship with an empty extra_benefits array rather than an unverified guess. Per-plan fields are not yet fact-gated (same standing as TX.json/CA.json/GA.json today), so the state as a whole stays unverified.

Servicios para miembros: 1-833-981-0212

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• 24 hour nurse line

  Healthy U members can call a nurse any time, day or night, through the plan's Nurse Line.

• Virtual prenatal visits

  Healthy U offers virtual prenatal checkups by smartphone or computer for pregnant members.

• University of Utah Health Plans Obtenido el 2026-07-17
• University of Utah Health Plans Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, areas.mandatory-aco-counties.plans, and explainer.model are all quote-gate verified against a captured Utah Department of Health and Human Services Managed Care page (medicaid.utah.gov/managed-care/), which states directly: 'Members who live in Utah, Salt Lake, Davis, Weber, Box Elder, Cache, Iron, Morgan, Rich, Summit, Tooele, Wasatch, or Washington County, must choose a health plan. Members who live in any other county in Utah have the option of selecting a health plan or using the Fee for Service Network,' and separately lists the four current ACOs with phone numbers and websites. enrollment.phone is quote-gate verified against a captured Health Program Representatives page (medicaid.utah.gov/health-program-representatives), which states 'To contact an HPR, please call 1-866-608-9422.' Both snapshots fetched cleanly with a plain fetch; no Cloudflare or host-allowlist block was hit for medicaid.utah.gov (unlike GA's enrollment portal). enrollment.choice_window_days is an honest not_found: search-engine summaries suggested a 90 day initial window and a mid-May to mid-June annual change period, but no captured .gov snapshot states either figure in a quotable sentence, and a PDF member guide fetch attempt returned unreadable binary content, so no specific day count is asserted anywhere in the file. Geography is modeled as partial with ONE service_area (slug mandatory-aco-counties) covering the 13 counties the state's own page names as mandatory choose-a-plan counties, all four ACOs listed as its roster: the managed care page names the same four plans as a single flat list with no per-county breakdown for the general ACO product, so a single area is the honest read. I deliberately did not use 'Wasatch Front' as the area name: that term historically described only the original 4 rollout counties (Weber, Salt Lake, Davis, Utah), and current mandatory enrollment has since expanded to 13 counties including Washington and Iron, which are not part of the Wasatch Front region geographically, so using that name would misdescribe the current list; the file instead uses the plain functional name the source itself supports. I also considered, and rejected, modeling Utah Medicaid Integrated Care (UMIC) as a second service area: the same managed care page shows a separate table where Healthy U does not participate in Washington County's UMIC product, which would be a real roster difference, but UMIC only applies to the narrower Adult Expansion Medicaid subpopulation in 5 of the 13 counties, layered on top of the general ACO product everyone else uses; modeling it as a general-audience service area would misrepresent who it actually applies to, so it is left out and only the general ACO roster (uniform across all 13 mandatory counties per the source) is modeled. Counties outside the mandatory 13 are described only in prose (the explainer): the source says members there may optionally pick one of the same four plans or use the Fee for Service Network, but I found no source stating which of the four ACOs actually serve which specific non-mandatory county, so no second service_area or plan_ids claim was made for that region, matching the never-guess rule. Utah's pharmacy program launched a 'Hybrid Unified Preferred Drug List' effective January 1, 2026 that Utah Medicaid's own hupdl explainer page describes as one shared list across all four managed care plans, but Utah Medicaid's own preferred-drug-list landing page separately tells managed care members to visit each ACO's own website for plan-specific preferred drug lists rather than linking a single unified tool; given that direct contradiction between two same-publisher pages, and that the alignment is stated elsewhere as covering only certain drug classes DHHS selects (not a full single formulary), each plan record here uses its own formulary URL rather than asserting one statewide formulary_url the way CA/TX do. Per-plan member_phone for Health Choice Utah, Healthy U, and Molina Healthcare of Utah match the numbers listed on Utah Medicaid's own managed care page; SelectHealth Community Care's member_phone instead uses the number given on SelectHealth's own site (855-442-3234) since it differs from the number on Utah Medicaid's page (1-800-538-5038), noted on that plan's quality.note. Provider directory and formulary URLs for Health Choice Utah, Healthy U, and SelectHealth Community Care were confirmed by directly loading each plan's own site; Molina Healthcare's own site (molinahealthcare.com) returned an automated bot-protection block on every fetch attempt during authoring, so its provider directory and formulary URLs were located via search indexing only and could not be independently confirmed by loading page content, noted on that plan's quality.note. extra_benefits are populated only where independently confirmed on a plan's own site (Health Choice Utah's Stork Program; Healthy U's nurse line and virtual prenatal visits); Molina and SelectHealth Community Care ship with an empty extra_benefits array rather than an unverified guess. Per-plan fields are not yet fact-gated (same standing as TX.json/CA.json/GA.json today), so the state as a whole stays unverified.

Servicios para miembros: 1-888-483-0760

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Aún no hay beneficios extra en la lista.

• Molina Healthcare of Utah Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, areas.mandatory-aco-counties.plans, and explainer.model are all quote-gate verified against a captured Utah Department of Health and Human Services Managed Care page (medicaid.utah.gov/managed-care/), which states directly: 'Members who live in Utah, Salt Lake, Davis, Weber, Box Elder, Cache, Iron, Morgan, Rich, Summit, Tooele, Wasatch, or Washington County, must choose a health plan. Members who live in any other county in Utah have the option of selecting a health plan or using the Fee for Service Network,' and separately lists the four current ACOs with phone numbers and websites. enrollment.phone is quote-gate verified against a captured Health Program Representatives page (medicaid.utah.gov/health-program-representatives), which states 'To contact an HPR, please call 1-866-608-9422.' Both snapshots fetched cleanly with a plain fetch; no Cloudflare or host-allowlist block was hit for medicaid.utah.gov (unlike GA's enrollment portal). enrollment.choice_window_days is an honest not_found: search-engine summaries suggested a 90 day initial window and a mid-May to mid-June annual change period, but no captured .gov snapshot states either figure in a quotable sentence, and a PDF member guide fetch attempt returned unreadable binary content, so no specific day count is asserted anywhere in the file. Geography is modeled as partial with ONE service_area (slug mandatory-aco-counties) covering the 13 counties the state's own page names as mandatory choose-a-plan counties, all four ACOs listed as its roster: the managed care page names the same four plans as a single flat list with no per-county breakdown for the general ACO product, so a single area is the honest read. I deliberately did not use 'Wasatch Front' as the area name: that term historically described only the original 4 rollout counties (Weber, Salt Lake, Davis, Utah), and current mandatory enrollment has since expanded to 13 counties including Washington and Iron, which are not part of the Wasatch Front region geographically, so using that name would misdescribe the current list; the file instead uses the plain functional name the source itself supports. I also considered, and rejected, modeling Utah Medicaid Integrated Care (UMIC) as a second service area: the same managed care page shows a separate table where Healthy U does not participate in Washington County's UMIC product, which would be a real roster difference, but UMIC only applies to the narrower Adult Expansion Medicaid subpopulation in 5 of the 13 counties, layered on top of the general ACO product everyone else uses; modeling it as a general-audience service area would misrepresent who it actually applies to, so it is left out and only the general ACO roster (uniform across all 13 mandatory counties per the source) is modeled. Counties outside the mandatory 13 are described only in prose (the explainer): the source says members there may optionally pick one of the same four plans or use the Fee for Service Network, but I found no source stating which of the four ACOs actually serve which specific non-mandatory county, so no second service_area or plan_ids claim was made for that region, matching the never-guess rule. Utah's pharmacy program launched a 'Hybrid Unified Preferred Drug List' effective January 1, 2026 that Utah Medicaid's own hupdl explainer page describes as one shared list across all four managed care plans, but Utah Medicaid's own preferred-drug-list landing page separately tells managed care members to visit each ACO's own website for plan-specific preferred drug lists rather than linking a single unified tool; given that direct contradiction between two same-publisher pages, and that the alignment is stated elsewhere as covering only certain drug classes DHHS selects (not a full single formulary), each plan record here uses its own formulary URL rather than asserting one statewide formulary_url the way CA/TX do. Per-plan member_phone for Health Choice Utah, Healthy U, and Molina Healthcare of Utah match the numbers listed on Utah Medicaid's own managed care page; SelectHealth Community Care's member_phone instead uses the number given on SelectHealth's own site (855-442-3234) since it differs from the number on Utah Medicaid's page (1-800-538-5038), noted on that plan's quality.note. Provider directory and formulary URLs for Health Choice Utah, Healthy U, and SelectHealth Community Care were confirmed by directly loading each plan's own site; Molina Healthcare's own site (molinahealthcare.com) returned an automated bot-protection block on every fetch attempt during authoring, so its provider directory and formulary URLs were located via search indexing only and could not be independently confirmed by loading page content, noted on that plan's quality.note. extra_benefits are populated only where independently confirmed on a plan's own site (Health Choice Utah's Stork Program; Healthy U's nurse line and virtual prenatal visits); Molina and SelectHealth Community Care ship with an empty extra_benefits array rather than an unverified guess. Per-plan fields are not yet fact-gated (same standing as TX.json/CA.json/GA.json today), so the state as a whole stays unverified.

Servicios para miembros: 1-855-442-3234

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Aún no hay beneficios extra en la lista.

• SelectHealth Obtenido el 2026-07-17
• SelectHealth Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, areas.mandatory-aco-counties.plans, and explainer.model are all quote-gate verified against a captured Utah Department of Health and Human Services Managed Care page (medicaid.utah.gov/managed-care/), which states directly: 'Members who live in Utah, Salt Lake, Davis, Weber, Box Elder, Cache, Iron, Morgan, Rich, Summit, Tooele, Wasatch, or Washington County, must choose a health plan. Members who live in any other county in Utah have the option of selecting a health plan or using the Fee for Service Network,' and separately lists the four current ACOs with phone numbers and websites. enrollment.phone is quote-gate verified against a captured Health Program Representatives page (medicaid.utah.gov/health-program-representatives), which states 'To contact an HPR, please call 1-866-608-9422.' Both snapshots fetched cleanly with a plain fetch; no Cloudflare or host-allowlist block was hit for medicaid.utah.gov (unlike GA's enrollment portal). enrollment.choice_window_days is an honest not_found: search-engine summaries suggested a 90 day initial window and a mid-May to mid-June annual change period, but no captured .gov snapshot states either figure in a quotable sentence, and a PDF member guide fetch attempt returned unreadable binary content, so no specific day count is asserted anywhere in the file. Geography is modeled as partial with ONE service_area (slug mandatory-aco-counties) covering the 13 counties the state's own page names as mandatory choose-a-plan counties, all four ACOs listed as its roster: the managed care page names the same four plans as a single flat list with no per-county breakdown for the general ACO product, so a single area is the honest read. I deliberately did not use 'Wasatch Front' as the area name: that term historically described only the original 4 rollout counties (Weber, Salt Lake, Davis, Utah), and current mandatory enrollment has since expanded to 13 counties including Washington and Iron, which are not part of the Wasatch Front region geographically, so using that name would misdescribe the current list; the file instead uses the plain functional name the source itself supports. I also considered, and rejected, modeling Utah Medicaid Integrated Care (UMIC) as a second service area: the same managed care page shows a separate table where Healthy U does not participate in Washington County's UMIC product, which would be a real roster difference, but UMIC only applies to the narrower Adult Expansion Medicaid subpopulation in 5 of the 13 counties, layered on top of the general ACO product everyone else uses; modeling it as a general-audience service area would misrepresent who it actually applies to, so it is left out and only the general ACO roster (uniform across all 13 mandatory counties per the source) is modeled. Counties outside the mandatory 13 are described only in prose (the explainer): the source says members there may optionally pick one of the same four plans or use the Fee for Service Network, but I found no source stating which of the four ACOs actually serve which specific non-mandatory county, so no second service_area or plan_ids claim was made for that region, matching the never-guess rule. Utah's pharmacy program launched a 'Hybrid Unified Preferred Drug List' effective January 1, 2026 that Utah Medicaid's own hupdl explainer page describes as one shared list across all four managed care plans, but Utah Medicaid's own preferred-drug-list landing page separately tells managed care members to visit each ACO's own website for plan-specific preferred drug lists rather than linking a single unified tool; given that direct contradiction between two same-publisher pages, and that the alignment is stated elsewhere as covering only certain drug classes DHHS selects (not a full single formulary), each plan record here uses its own formulary URL rather than asserting one statewide formulary_url the way CA/TX do. Per-plan member_phone for Health Choice Utah, Healthy U, and Molina Healthcare of Utah match the numbers listed on Utah Medicaid's own managed care page; SelectHealth Community Care's member_phone instead uses the number given on SelectHealth's own site (855-442-3234) since it differs from the number on Utah Medicaid's page (1-800-538-5038), noted on that plan's quality.note. Provider directory and formulary URLs for Health Choice Utah, Healthy U, and SelectHealth Community Care were confirmed by directly loading each plan's own site; Molina Healthcare's own site (molinahealthcare.com) returned an automated bot-protection block on every fetch attempt during authoring, so its provider directory and formulary URLs were located via search indexing only and could not be independently confirmed by loading page content, noted on that plan's quality.note. extra_benefits are populated only where independently confirmed on a plan's own site (Health Choice Utah's Stork Program; Healthy U's nurse line and virtual prenatal visits); Molina and SelectHealth Community Care ship with an empty extra_benefits array rather than an unverified guess. Per-plan fields are not yet fact-gated (same standing as TX.json/CA.json/GA.json today), so the state as a whole stays unverified.