Utah Medicaid
Credentialing and enrollment guides for Utah Medicaid across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About Utah Medicaid
Utah DHHS — Utah Medicaid
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Utah Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Utah Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Utah Medicaid?
Our specialists handle the entire Utah Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Utah Medicaid Provider Enrollment
Contact Information
Provider Credentialing
1-800-662-9651
Mon-Fri 8am-5pm
Provider Services
1-800-662-9651
Claims & Billing
1-800-662-9651
Quick Links
Available States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Utah Medicaid-specific credentialing details including timelines, contacts, and local requirements.
Utah Medicaid credentialing requirements by state
Utah Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Utah Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Utah | Open | 30–60 days | Utah Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Utah DHHS (Department of Health and Human Services) Medicaid provider enrollment portal. (3) Submit application with UT state license, proof of malpractice insurance, and required documentation. (4) Background check including BCI and federal criminal history is required for all providers. Utah operates managed care through Accountable Care Organizations (ACOs) covering most Medicaid beneficiaries. Behavioral health providers accepted include LMFT, LCSW, and CMHC (Clinical Mental Health Counselor) with active Utah licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Utah Medicaid credentialing
How long does Utah Medicaid credentialing take?
Utah Medicaid credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Utah Medicaid require CAQH?
No. Utah Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on Utah Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Utah Medicaid operate in?
Utah Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.