TABLE V – Telephone Numbers

Effective: October 1, 2012

For Previous Table Information

CHIP Website

www.health.utah.gov/chip

CHIP Information Hotline

1-877-KIDS-NOW

(1-877-543-7669)

CHIP Premium Line (Toll free) (select option 5)

CHIP Premium Line (Salt Lake area)

1-866-435-7414

801-526-0950

CHIP Health Plan Selection (select opt. 1)

CHIP Health Plan Selection (Salt Lake area)

1-866-608-9422

801-526-9422

CHIP Administrative Office

801-538-6358

CHIP/PCN/UPP Program Manager Amanda Yoshida

801-538-6135

CHIP/PCN/UPP Eligibility Policy – John Nicolaisen

801-538-9349

CHIP Quality Assurance Kimra Goble

            Co-payment/Out of Pocket Maximum

801-538-6728

CHIP Fax

801-538-6099

Constituent Services (Dept. of Health)

801-538-6417

Constituent Services (Dept. of Workforce Services)

1-800-331-4341

Medicaid Information Hotline

801-538-6155

Toll Free          

Medicaid Eligibility Policy Manual

1-800-662-9651

http://utahcares.utah.gov/infosourcemedicaid/

Medicaid Program/ Policy Specialists

 

Gayle M. Six (Program Manager; Rules, State Plan)

 

Vacant  (Family Medicaid, back-up ABD [except NH],CHIP, PCN)

 

John Nicolaisen (Medicaid Work Incentive, ABD Medicaid, Medicaid Cost Sharing Programs, CHIP, PCN, UPP)

 

Lane London (NH/Waivers policy & training, back-up ABD)

 

Linda Asa (General Eligibility, Presumptive Eligibility)

 

ORS Medicaid Information Unit

 

Questions about insurance coverage (TPL Team)

     TPL Team Manager

     TPL Team Manager

801-536-8798

801-536-8789

801-536-8784

To report possible receipt of insurance/personal

injury settlements:  TPLchanges@utah.gov

 

PCN Website

http://www.health.utah.gov/pcn/

UPP Website

http://www.health.utah.gov/upp/