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.
The four ACO contracts are available . . .