Medicaid Managed Care Contract | October 10, 2019
Utah Medicaid Managed Care Contracts
Utah's Medicaid managed care program is delivered through four capitated accountable care organizations (ACOs). ACOs are available statewide; however, enrollment is mandatory only in counties that are specified in the state’s 1915 (b) waiver. The ACOs are responsible for physical health and pharmacy benefits.
Note:
- Currently, there are 13 mandatory enrollment counties, comprising 83% of the state Medicaid population.
- Members in mandatory enrollment counties must choose an ACO. If they do not, one is assigned to them.
- The state is exploring adding five more mandatory enrollment counties as early as July 2019 . . .