Everything You Want To Know

Medicaid / Utah

Medicaid for Home Care in Utah

Medicaid Certified Home Care Agency in Utah

If a homecare agency needs to claim Utah Medicaid, they must be certified as HHA (Home Health Agency). It is important for the agencies to check the guidelines provided by the state’s Department of Human Services or Bureau of Licensing and Certification so that they can be sure about their eligibility. There are some relaxations for certifications in some states, but generally, agencies must be certified and licensed.

Governing Body: Utah Department of Health


Medicaid in Utah is available for pregnant women, parents, blind people, elderly or disabled people, children, and women with breast or cervical cancer and refugees.

Medicaid Programs:

  • Utah State Plan Personal Care Services
  • Utah Aging Waiver for Individuals Age 65 or Older
  • Utah Medicaid New Choices Waiver (NCW)
  • Baby Your Baby
  • Spenddown Program
  • Emergency Medicaid
  • Foster Care Independent Living

Income Requirements:

  • For parents with dependent children, income up to 60% of the FLP
  • Those outside the expansion group must qualify each month for continued coverage according to their category by meeting a monthly income standard between 55% and 133% of the FPL
  • The Medicaid Work Incentive (MWI) program is for Utah residents who meet the Social Security criteria for disability and also have income not more than 250% of the FPL

Application Process:

To apply online, visit the Utah Department of Workforce Services (DWS) website

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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