The Utah Department of Health and Human Services offers healthcare providers a robust digital platform called the PRISM Portal, designed to streamline administrative processes and enhance provider interactions with Medicaid services.
Official Links
What is the PRISM Portal?
The PRISM (Provider Resource Information System Management) Portal is a comprehensive online system that enables Medicaid providers to:
- Verify patient eligibility
- Access provider resources
- Manage account information
- Submit claims
- Perform various administrative tasks
Who Can Use the Portal
Healthcare providers enrolled in Utah Medicaid can access the PRISM Portal, including:
- Medical practices
- Clinics
- Individual healthcare professionals
- Authorized provider account administrators
Access and Authentication
Multi-Factor Authentication
As of April 1, 2021, providers must complete a multi-factor authentication process to access the PRISM application. This enhanced security measure protects sensitive healthcare information.
Login Process
- Visit the PRISM Portal
- Complete multi-factor authentication
- Use Utah-ID account credentials
Provider Portal Registration
New User Registration
- Go to the PRISM Portal
- Complete registration process
- Provider Account Administrator will approve or reject registration
- Requires PRISM Domain of the provider
Multiple Account Administrators
Utah Medicaid recommends:
- Assign ‘EXT Provider Account Administrator’ profile to multiple employees
- Ensures continuous account management
- Provides backup if primary administrator is unavailable
Key Features
- Patient eligibility verification
- Coverage and reimbursement lookup
- Claims management
- Prior authorization processing
- Provider training resources
System Updates
Phone System Changes
Effective April 8, 2024:
- Phone downtime shifted to Tuesdays (8-11 am)
- PRISM system remains available during downtime
- Allows continuous online access
Privacy and Security
- Multi-factor authentication
- Utah-ID account requirements
- Secure access protocols
Technical Support
Contact Information
- Eligibility Questions: 1-866-435-7414
- General Questions: 1-866-608-9422
Technical Support Resources
- Multi-Factor Authentication Registration Instructions
- Provider Account Admin: Managing a Provider Domain eLearning course
- ForgeRock Authentication Error Workaround Guide
Troubleshooting
If experiencing login issues:
- Check ForgeRock authentication steps
- Contact provider support
- Verify Utah-ID credentials
Limitations and Notes
- Some specific portal feature details are not comprehensively described in source documents
- Providers should refer to official documentation for most current information
Recommendations
- Assign multiple account administrators
- Complete multi-factor authentication
- Regularly check for system updates
- Utilize online resources and training materials
The Utah Medicaid PRISM Portal provides healthcare providers with a secure, efficient platform for managing Medicaid-related administrative tasks, emphasizing user-friendly design and robust security measures.
Disclaimer: Information is current as of August 2025, based on available documentation from Utah Department of Health and Human Services.
FAQ
How do I find a provider for Medicaid Utah?If you are enrolled in a health plan (Accountable Care Organization), please contact your health plan for provider information. Your Health Program Representative (HPR) can also help you find a provider. Contact an HPR at 1-866-608-9422.
What is prism utah medicaid?A: The Division of Medicaid and Health Financing (DMHF) is currently engaged in a multi-year project to replace the current Medicaid Management Information System (MMIS). The name of the project is PRISM (Provider Reimbursement Information System for Medicaid).
What is the maximum income to qualify for Medicaid in Utah?
How do I contact Utah Medicaid provider enrollment?New Enrollment Application and Track Your Application
If you have questions, please call Provider Enrollment at (801) 538-6155, or toll-free 1-800-662-9651 (option 3 then 4) or by email: [email protected].
https://medicaid.utah.gov/accessing-prism/
To access PRISM Portal click here opens in a new tab. Starting April 1, 2021, providers will need to go through a multi-factor authentication process.
https://medicaid.utah.gov/health-care-providers/
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