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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

Where to submit

Submit completed applications to any Department of Workforce Services office, mail to the address provided with your application, or fax as directed. You can also apply online through the Utah Department of Workforce Services portal.

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Utah Medicaid provides healthcare coverage for low-income pregnant women, children, elderly individuals, people with disabilities, and parents. To apply, complete Form 61MED, available from the Utah Department of Health and Human Services. You'll need documents like birth certificates, Social Security cards, proof of income, and bank statements. If you're applying for nursing home care, you'll also need the Long Term Care Addendum. Utah processes standard applications within 30 days, or 90 days for disability claims. You can apply online, at any Department of Workforce Services office, or by mail. For questions, call the Medicaid Hotline at 1-800-662-9651. Don't wait - healthcare coverage could be available to help you and your family access needed medical care.

Official resources

Related guides

Frequently asked questions

How do I apply for Utah Medicaid in Utah?

To apply for Utah Medicaid in Utah, complete Medical Application (61MED), then submit it to Submit completed applications to any Department of Workforce Services office, mail to the address provided with your application, or fax as directed. You can also apply online through the Utah Department of Workforce Services portal..

What documents do I need to apply for Utah Medicaid in Utah?

You typically need to provide: Birth certificate for all applicants, Social Security cards for all household members, Proof of U.S. citizenship or qualified alien status, Photo identification for applicant, Proof of income for last 30 days (pay stubs, benefits statements), Bank statements for last 3 months, Health insurance information if currently insured, Disability determination letters if applicable, Medical records if applying based on disability, Pregnancy verification if pregnant, Proof of resources/assets (car titles, property deeds), Court orders for child support if applicable.

Where do I submit my Utah Medicaid application in Utah?

Submit your completed Utah Medicaid application to Submit completed applications to any Department of Workforce Services office, mail to the address provided with your application, or fax as directed. You can also apply online through the Utah Department of Workforce Services portal..

How we research and verify this information

Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.