How to Get Credentialed with Utah Medicaid in Utah
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
Delegated
No
Utah-Specific Requirements
Medicaid Information — Utah
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Utah.
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.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Background Check
Federal/state background check required for Medicaid enrollment
CV/Resume
Work history required
Malpractice Insurance
ConditionalRequired in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Utah Medicaid Provider Enrollment
RequiredContact Information
Provider Enrollment
National1-800-662-9651
General Provider Inquiries
National1-800-662-9651