Utah DHHS (Medicaid) · April 14, 2026 · Primary source
March2026-MIB.pdf
Summary
Utah Medicaid's March 2026 Medicaid Information Bulletin addresses multiple policy updates effective March 1 through July 1, 2026. Key items include: behavioral health code standardization updates; peer support specialist supervisor requirements; medically managed outpatient detoxification policy; dental service transitions for pregnant, postpartum, and EPSDT members from managed care dental plans to Medicaid FFS effective July 1, 2026; a 250% reimbursement incentive for first-session Diabetes Prevention Program claims; and doula services as a new covered benefit effective April 1, 2026. Nursing facility resident assessment add-on rate billing rules are also clarified, requiring authorization before billing any rate change.
What this may mean
Dental providers serving Utah Medicaid's EPSDT, pregnant, and postpartum populations must enroll in the University of Utah School of Dentistry Medicaid Associated Provider Program to receive reimbursement after the July 1, 2026 transition from managed care dental plans to FFS. Behavioral health and SUD providers face updated coding and documentation requirements under the behavioral health code standardization initiative. Nursing facilities that bill add-on rates without prior Resident Assessment authorization face funds recapture.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
Related items
- Utah DHHS (Medicaid) · October 24, 2026July2026-MIB.pdfScore 92
- Ohio Medicaid Fraud Control Unit · October 22, 2026Columbus Doctor, Clinic Manager Plead Guilty in $1.6M Medicaid SchemeScore 92
- OIG Enforcement Actions: EMTALA Patient Dumping Settlements · October 3, 2026ECU Health North Hospital Agreed to Pay $200,000 for Allegedly Violating Patient Dumping Statute by Failing to Provide Appropriate Medical Screening ExaminationsScore 92
- Utah DHHS (Medicaid) · October 24, 2026May2026-MIB.pdfScore 90
- Utah DHHS (Medicaid) · October 24, 2026September2026-MIB.pdfScore 85
- New York Legislature (healthcare bills) · September 24, 2026NY S 7984: Relates to exemptions from the recipient restriction programScore 80