Utah Medicaid Application Guide
Utah Medicaid · 61MED
Content verified 2026-07-17T17:44:20.390Z
Program overview
Utah Medicaid is a state and federal program that pays for medical services for low-income pregnant women, children, individuals who are elderly or have a disability, parents, and women with breast or cervical cancer. To qualify, individuals must meet income and other eligibility requirements. Medicaid covers medical expenses for certain groups of people who have limited income and resources.
Eligibility includes special provisions for those who are aged, blind, or disabled, living in a nursing home, or applying for a Medicaid waiver program. If you're over the income limits for other Medicaid programs, additional questions are required, though providing this information upfront helps process applications more quickly. The application asks about disabilities that cause limitations in daily activities like bathing, dressing, or daily chores.
Utah has 30 days to process standard medical benefit applications and 90 days if you claim to be disabled. You can apply at any Department of Workforce Services office, and if you cannot print applications, you can request one be mailed by calling Salt Lake County at (801) 526-0950 or toll-free 1-866-435-7414.
If applying for nursing home Medicaid or long-term care Medicaid, you must complete both the Medical Only Application and the Long Term Care Addendum. For those seeking multiple benefits, the Multi-Program Application covers Medicaid plus other programs like Food Stamps and Child Care assistance. For questions about completing the application, call DWS, and for general Medicaid questions, call the Medicaid Hotline at 1-800-662-9651.
Main application form
Medical Application
Form 61MED
Additional forms
Long Term Care Addendum ·
Required for nursing home Medicaid or long-term care Medicaid applications
Multi-Program Application ·
For applying to Medicaid plus other programs (Food Stamps, Child Care, Financial assistance)
Employer's Health Insurance Information Form ·
Required when applying for UPP (Utah Premium Partnership) if employed