Due to the government shutdown, updates to information on this website may be limited or delayed. State Medicaid and Children’s Health Insurance Programs (CHIP) continue to operate. Continue to work with the programs in your state to access coverage. For more information about government operating status, visit OPM.gov.

U.S. flag

An official website of the United States government

Utah Medicaid Reform 1115 Demonstration

State: Utah
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 02/08/2002
Effective: 07/01/2002
Expiration: 06/30/2027

Supporting Documents

Pending Application(s) and Related Documents

Date Title View
07/15/2025 Pending Application – Community Engagement (PDF, 3.1 MB) View/Submit Comments
06/30/2025 Pending Application - Disability Wraparound Coverage and Dental Services Amendment (PDF, 4.71 MB) View/Submit Comments
11/21/2024 Pending Application – Traditional Healing Services (PDF, 5.58 MB) View/Submit Comments
07/27/2023 Pending Application – Chronic Conditions Support (PDF, 5.04 MB) View/Submit Comments
07/27/2023 Pending Application – Family Planning Services (PDF, 5.18 MB) View/Submit Comments
05/16/2023 Pending Application – Extended Postpartum Coverage (PDF, 2.03 MB) View/Submit Comments
12/30/2022 Pending Application – Integrated Services (PDF, 2.27 MB) View/Submit Comments
12/30/2022 Pending Application – LTSS for Behaviorally Complex Individuals (PDF, 2.25 MB) View/Submit Comments
11/04/2019 Pending Application - Fallback Plan (PDF, 8.32 MB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
06/25/2025 Monitoring Redesign Overlay Letter (PDF, 8.67 MB)

Administrative Record

Date Title View
08/14/2025 Quarterly Monitoring Report January 2025 – March 2025 (PDF, 1.12 MB)
07/15/2025 CMS Completeness Letter (PDF, 145.17 KB)
07/09/2025 CMS Completeness Letter (PDF, 113.89 KB)
07/08/2025 SMI Quarterly Monitoring Report April 2024 – June 2024 (Part A) (XLSX, 658.32 KB)
07/08/2025 SMI Quarterly Monitoring Report April 2024 – June 2024 (Part B) (PDF, 353.51 KB)
06/17/2025 SMI Quarterly Monitoring Report January 2025 - March 2025 (Part A) (XLSX, 662.53 KB)
06/17/2025 SMI Quarterly Monitoring Report January 2025 - March 2025 (Part B) (PDF, 282.64 KB)
06/12/2025 SUD Quarterly Monitoring Report January 2025 – March 2025 (Part A) (XLSX, 536.44 KB)
06/12/2025 SUD Quarterly Monitoring Report January 2025 – March 2025 (Part B) (PDF, 288.43 KB)
06/12/2025 SUD Quarterly Monitoring Report October 2024 – December 2024 (Part A) (XLSX, 76.84 KB)
06/12/2025 SUD Quarterly Monitoring Report October 2024 – December 2024 (Part B) (PDF, 289.68 KB)
05/27/2025 Quarterly Monitoring Report July 2024 – September 2024 (PDF, 1.14 MB)
05/27/2025 Quarterly Monitoring Report October 2024 – December 2024 (PDF, 1.1 MB)
05/08/2025 SUD Quarterly Monitoring Report July 2024 – September 2024 (Part A) (XLSX, 536.1 KB)
05/08/2025 SUD Quarterly Monitoring Report July 2024 – September 2024 (Part B) (PDF, 2.94 MB)
03/25/2025 SMI Quarterly Monitoring Report October 2024 – December 2024 (Part A) (XLSX, 663.06 KB)
03/25/2025 SMI Quarterly Monitoring Report October 2024 – December 2024 (Part B) (PDF, 347.95 KB)
01/14/2025 State Annual Monitoring Report July 2023 – June 2024 (PDF, 1.68 MB)
01/08/2025 Demonstration Approval (PDF, 8.74 MB)
01/08/2025 Protocol Approval Letter (PDF, 8.61 MB)
12/05/2024 SMI Quarterly Monitoring Report July 2024 – September 2024 (Part A) (XLSX, 657.9 KB)
12/05/2024 SMI Quarterly Monitoring Report July 2024 – September 2024 (Part B) (PDF, 286.3 KB)
12/03/2024 CMS Completeness Letter (PDF, 189.28 KB)
11/04/2024 CMS Approved Summative Evaluation Report (PDF, 4.81 MB)
10/22/2024 SUD Quarterly Monitoring Report April 2024 – June 2024 (Part A) (PDF, 296.2 KB)
10/22/2024 SUD Quarterly Monitoring Report April 2024 – June 2024 (Part B) (XLSX, 76.15 KB)
08/27/2024 Quarterly Monitoring Report January 2024 – March 2024 (PDF, 1.08 MB)
08/01/2024 CMS Approved Amended Evaluation Design (PDF, 1.66 MB)
08/01/2024 Demonstration Approval (PDF, 8.59 MB)
07/26/2024 SMI Quarterly Monitoring Report January 2024 – March 2024 (Part A) (XLSX, 662.5 KB)
07/26/2024 SMI Quarterly Monitoring Report January 2024 – March 2024 (Part B) (PDF, 334.9 KB)
07/25/2024 State Acceptance Letter (PDF, 173.93 KB)
07/02/2024 CMS Amendment Approval (PDF, 2.94 MB)
07/02/2024 CMS Completeness Letter (PDF, 164.27 KB)
07/02/2024 State Application – Health Related Social Needs (PDF, 2.5 MB) View Comments
05/07/2024 SMI Retrospective Monitoring Report October 2020 - September 2023 (Part A) (XLSX, 7.2 MB)
04/18/2024 SMI Quarterly Monitoring Report October 2023 - December 2023 (Part A) (XLSM, 134.58 KB)
04/18/2024 SMI Quarterly Monitoring Report October 2023 - December 2023 (Part B) (PDF, 307.41 KB)
04/10/2024 SMI Quarterly Monitoring Report April 2023 – June 2023 (Part A) (XLSM, 138.26 KB)
04/10/2024 SMI Quarterly Monitoring Report April 2023 – June 2023 (Part B) (PDF, 303.09 KB)
04/10/2024 SUD Quarterly Monitoring Report July 2022 – September 2022 (Part A) (XLSX, 68.49 KB)
04/10/2024 SUD Quarterly Monitoring Report July 2022 – September 2022 (Part B) (PDF, 3.45 MB)
03/29/2024 State Acceptance Letter (PDF, 137.5 KB)
02/29/2024 CMS Amendment Approval (PDF, 13.79 MB)
02/28/2024 State Quarterly Report October 2023 – December 2023 (PDF, 900.68 KB)
02/27/2024 CMS Approved Evaluation Design (PDF, 1.63 MB)
02/27/2024 Demonstration Approval (PDF, 8.26 MB)
02/22/2024 Annual Budget Neutrality Report October 2023-December 2024 (XLSM, 1.06 MB)
02/21/2024 SMI Quarterly Monitoring Report July 2023 – September 2023 (Part A) (XLSM, 142.07 KB)
02/21/2024 SMI Quarterly Monitoring Report July 2023 – September 2023 (Part B) (PDF, 312.5 KB)
02/21/2024 SUD Quarterly Monitoring Report July 2023 – September 2023 (Part A) (XLSX, 67.98 KB)
02/21/2024 SUD Quarterly Monitoring Report July 2023 – September 2023 (Part B) (PDF, 2.74 MB)
02/12/2024 SUD Quarterly Monitoring Report April 2023 – June 2023 (Part A) (XLSX, 68.48 KB)
02/12/2024 SUD Quarterly Monitoring Report April 2023 – June 2023 (Part B) (PDF, 3.02 MB)
01/29/2024 Annual Budget Neutrality Report July 2023-September 2024 (XLSM, 1.06 MB)
01/22/2024 SUD Quarterly Monitoring Report April 2022 – June 2022 (Part A) (XLSX, 143.15 KB)
01/22/2024 SUD Quarterly Monitoring Report April 2022 – June 2022 (Part B) (PDF, 2.74 MB)
01/22/2024 SUD Quarterly Monitoring Report October 2022 – December 2022 (Part A) (XLSX, 68.11 KB)
01/22/2024 SUD Quarterly Monitoring Report October 2022 – December 2022 (Part B) (PDF, 3.51 MB)
01/17/2024 SMI Quarterly Monitoring Report January 2023 - March 2023 (Part B) (PDF, 281.44 KB)
01/17/2024 SUD Quarterly Monitoring Report January 2023 - March 2023 (Part B) (PDF, 2.75 MB)
01/05/2024 SMI Quarterly Monitoring Report January 2022 - March 2022 (Part A) (XLSM, 134.26 KB)
01/05/2024 SMI Quarterly Monitoring Report January 2022 - March 2022 (Part B) (PDF, 272.33 KB)
12/01/2023 SMI Quarterly Monitoring Report July 2022 – September 2022 (Part A) (XLSM, 132.89 KB)
12/01/2023 SMI Quarterly Monitoring Report July 2022 – September 2022 (Part B) (PDF, 326.32 KB)
11/28/2023 SMI Quarterly Monitoring Report October 2022 – December 2022 (Part A) (XLSM, 131.45 KB)
11/28/2023 SMI Quarterly Monitoring Report October 2022 – December 2022 (Part B) (PDF, 304.78 KB)
11/28/2023 State Quarterly Report July 2023 – September 2023 (PDF, 918.62 KB)
10/06/2023 SMI Quarterly Monitoring Report April 2022 - June 2022 Part A (XLSM, 136.06 KB)
10/06/2023 SMI Quarterly Monitoring Report April 2022 - June 2022 Part B (PDF, 314.05 KB)
09/28/2023 State Annual Report July 2022 – June 2023 (PDF, 1.02 MB)
09/08/2023 CMS Letter to State (PDF, 211.59 KB)
08/02/2023 CMS Completeness Letter (PDF, 232.82 KB)
07/27/2023 State Application – Dental Services (PDF, 3.13 MB) View Comments
06/01/2023 CMS Completeness Letter (PDF, 233.12 KB)
05/30/2023 State Quarterly Report – January 2023 – March 2023 (PDF, 837.54 KB)
05/24/2023 CMS Approved Risk Mitigation Amendment Evaluation Design (PDF, 565.23 KB)
05/18/2023 CMS Approved SMI Monitoring Protocol (Part A) (XLSX, 85.84 KB)
05/18/2023 CMS Approved SMI Monitoring Protocol (Part B) (PDF, 389.34 KB)
05/18/2023 CMS Approved SUD Monitoring Protocol (Part A) (XLSX, 144.26 KB)
05/18/2023 CMS Approved SUD Monitoring Protocol (Part B) (PDF, 1009.9 KB)
05/18/2023 Demonstration Approval - SUD and SMI Monitoring Protocols (PDF, 7.89 MB)
04/19/2023 CMS Completeness Letter (PDF, 232.39 KB)
04/10/2023 Application - UPP Premium Increase (PDF, 2.57 MB) View Comments
03/09/2023 SMI Quarterly Report October 2021 – December 2021 Part A (XLSM, 136.78 KB)
03/09/2023 SMI Quarterly Report October 2021 – December 2021 Part B (PDF, 269.15 KB)
03/09/2023 SMI Retrospective Monitoring Report April 2021 – September 2021 (XLSX, 93.12 KB)
02/24/2023 State Quarterly Report – October 2022 – December 2022 (PDF, 996.34 KB)
01/30/2023 State Annual Report July 2021 – June 2022 (PDF, 5.87 MB)
01/12/2023 CMS Completeness Letter (PDF, 337.85 KB)
11/29/2022 State Quarterly Report July – September 2022 (PDF, 717.91 KB)
11/15/2022 CMS Accepted Interim Evaluation Reports (PDF, 4.35 MB)
09/28/2022 SUD Mid-Point Assessment (PDF, 3.17 MB)
09/01/2022 CMS Approved PCN-TAM-CE-BDD-UPP Evaluation Design (PDF, 705.24 KB)
09/01/2022 CMS Approved SMI-AD-ISS Evaluation Designs (PDF, 2.61 MB)
08/29/2022 State Quarterly Report January – March 2022 (PDF, 601.23 KB)
07/29/2022 SUD Quarterly Report January 2022 – March 2022 (Part A) (XLSX, 152.36 KB)
07/29/2022 SUD Quarterly Report January 2022 – March 2022 (Part B) (PDF, 2.74 MB)
07/11/2022 State Acceptance Letter (PDF, 233.2 KB)
06/30/2022 Demonstration Approval (PDF, 2.69 MB)
03/04/2022 CMS Amendment Approval (PDF, 2.63 MB)
03/04/2022 State Acceptance Letter (PDF, 168.86 KB)
03/01/2022 SUD Quarterly Report October – December 2021 (Part A) (XLSX, 142.84 KB)
03/01/2022 SUD Quarterly Report October – December 2021 (Part B) (PDF, 3.43 MB)
02/28/2022 State Quarterly Report October – December 2021 (PDF, 849.55 KB)
02/22/2022 State Acceptance of Managed Care Risk Mitigation COVID-19 Amendment (PDF, 179.12 KB)
02/14/2022 SMI Quarterly Report January- March 2021 (PDF, 268.69 KB)
01/18/2022 Risk Mitigation Approval (PDF, 220.79 KB)
12/27/2021 Application - Fertility Preservation Amendment (PDF, 3.28 MB) View Comments
12/27/2021 CMS Completeness Letter - Fertility Preservation Amendment (PDF, 152.9 KB)
12/27/2021 CMS Completeness Letter - Medical Respite Amendment (PDF, 152.89 KB)
12/27/2021 State Application – Medical Respite (PDF, 3.27 MB) View Comments
12/20/2021 SUD Quarterly Monitoring Report Revised Metrics November 2017 – March 2021 (XLSX, 102.77 KB)
12/13/2021 SUD Quarterly Report July- September 2021 (PDF, 3.34 MB)
12/13/2021 SUD Quarterly Report July- September 2021 (XLSX, 143.71 KB)
12/07/2021 CMS Approved SMI Monitoring Protocol (Part A) (XLSX, 88.72 KB)
12/07/2021 CMS Approved SMI Monitoring Protocol (Part B) (PDF, 323.15 KB)
12/07/2021 Serious Mental Illness (SMI) Monitoring Protocol Approval (PDF, 8.2 MB)
12/03/2021 State Quarterly Report July – September 2021 (PDF, 674.33 KB)
11/30/2021 SMI Quarterly Report July – September 2021 (PDF, 271.66 KB)
11/29/2021 CMS Approved UMIC Evaluation Design (PDF, 1.68 MB)
11/29/2021 Medicaid Integrated Care Evaluation Design Approval (PDF, 4.2 MB)
10/25/2021 CMS Approved SUD Evaluation Design (Updated) (PDF, 636.63 KB)
10/22/2021 SMI Annual Report January – June 2021 (PDF, 277.51 KB)
09/29/2021 SUD Annual Report July 2020 – June 2021 (PDF, 2.76 MB)
09/29/2021 SUD Annual Report July 2020 – June 2021 (XLSX, 143.07 KB)
09/28/2021 State Annual Report July 2020 – June 2021 (PDF, 731.29 KB)
09/17/2021 CMS Completeness Letter (PDF, 156.23 KB)
09/17/2021 State Extension Request (PDF, 48.34 MB) View Comments
08/10/2021 CMS Letter to State (PDF, 2.21 MB)
07/26/2021 SUD Quarterly Monitoring Report October 2020 – December 2020 (Part A) (XLSX, 142.73 KB)
07/26/2021 SUD Quarterly Monitoring Report October 2020 – December 2020 (Part B) (PDF, 2.74 MB)
07/23/2021 CMS Approval (PDF, 3.67 MB)
07/23/2021 State Acceptance Letter (PDF, 191.69 KB)
07/16/2021 Utah Demonstration Extension Request Incomplete Letter (PDF, 211.15 KB)
05/28/2021 SUD Quarterly Report January – March 2021 (PDF, 3.33 MB)
05/28/2021 SUD Quarterly Report January – March 2021 (XLSX, 142.71 KB)
05/28/2021 State Quarterly Report January – March 2021 (PDF, 629.55 KB)
05/17/2021 Quarterly SUD Monitoring Reports (with retro data) November 2017 – September 2020 (ZIP, 1.57 MB)
05/10/2021 Clinically Managed Residential Withdrawal Services Pilot Phase-out Letter (PDF, 965.42 KB)
03/12/2021 Letter from State (PDF, 134.54 KB)
03/04/2021 CMS Completeness Letter - UPP Amendment (PDF, 417.69 KB)
03/02/2021 SMI Quarterly Report October – December 2021 (PDF, 386.12 KB)
03/02/2021 State Quarterly Report October – December 2020 (, 229.99 KB)
02/19/2021 Application - UPP Amendment (PDF, 6.47 MB) View Comments
02/12/2021 CMS Letter to State (PDF, 38.59 KB)
02/12/2021 CMS Letter to State about Demonstration (PDF, 312.92 KB)
02/01/2021 State Acceptance Letter (PDF, 180.49 KB)
01/19/2021 Letter from State - Rescinded (PDF, 1.47 MB)
01/13/2021 CMS Completeness Letter - IVF and Genetic Testing Amendment (PDF, 116.16 KB)
12/30/2020 Application - IVF and Genetic Testing Amendment (PDF, 9.88 MB) View Comments
12/16/2020 CMS Approved SMI Implementation Plan (PDF, 780.03 KB)
12/16/2020 Demonstration Approval (PDF, 3.1 MB)
12/04/2020 State Quarterly Report July – September 2020 (PDF, 991.03 KB)
11/30/2020 CMS Approved Evaluation Designs – CE-TAMD-MW-AE-ESI (PDF, 1.45 MB)
10/09/2020 August 2017 PCN Amendments Withdrawal Letter (PDF, 248.66 KB)
09/30/2020 Annual Report July 2019-June 2020 (PDF, 1.06 MB)
09/24/2020 CMS Completeness Letter (PDF, 247.85 KB)
09/08/2020 Dental Amendment Request (PDF, 3.6 MB) View Comments
08/28/2020 CMS Approved SUD Monitoring Protocol (Part A) (XLSX, 140.13 KB)
08/28/2020 CMS Approved SUD Monitoring Protocol (Part B) (PDF, 351.92 KB)
08/28/2020 CMS SUD Monitoring Protocol Approval (PDF, 2.93 MB)
08/17/2020 CMS Complete Letter (PDF, 423.64 KB)
08/04/2020 Behavioral Health Services/IMD Amendment Request (PDF, 3.69 MB) View Comments
07/17/2020 CMS Approval - STC Attachment Update (PDF, 910.19 KB)
07/13/2020 Pending Application - Justice-Involved Individuals (PDF, 6.2 MB) View Comments
07/10/2020 CMS Complete Letter (PDF, 253.24 KB)
05/29/2020 Quarterly Report January-March 2020 (PDF, 1.01 MB)
03/09/2020 Quarterly Report October-December 2019 (PDF, 998.29 KB)
12/24/2019 Intensive Stabilization Services Amendment Acceptance Letter (PDF, 963 KB)
12/23/2019 CMS Amendment Approval – Adult Expansion Population / Dental Benefits / Targeted Adults (PDF, 2.51 MB)
12/03/2019 Quarterly Report July-September 2019 (PDF, 698.7 KB)
11/25/2019 Intensive Stabilization Services Amendment Approval (PDF, 1.92 MB)
11/07/2019 CMS Complete Letter – Fallback Amendment (PDF, 961.09 KB)
10/16/2019 SUD Evaluation Design Approval (PDF, 882.7 KB)
10/07/2019 Annual Report July 2018 – June 2019 (PDF, 433.85 KB)
09/11/2019 CMS Complete Letter – Integrated Care Amendment (PDF, 934.79 KB)
08/29/2019 Integrated Care Amendment Application (PDF, 2.27 MB) View Comments
07/11/2019 CMS Complete Letter – Dental Amendment (PDF, 925.41 KB)
06/28/2019 Aged Population Dental Amendment Application (PDF, 9.26 MB) View Comments
06/06/2019 Quarterly Report January-March 2019 (PDF, 489.23 KB)
06/05/2019 May 27, 2019 Family Planning Amendment Withdrawal Letter (PDF, 3.08 MB)
04/26/2019 April 26, 2019 State Acceptance Letter (PDF, 1.27 MB)
03/29/2019 Community Engagement Amendment Approval (PDF, 975.52 KB)
03/06/2019 Quarterly Report October-December 2018 (PDF, 400.79 KB)
02/28/2019 SUD Dental Amendment Acceptance Letter (PDF, 967.83 KB)
02/08/2019 Social Detoxification Amendment CMS Completeness Determination Letter (PDF, 182.38 KB)
02/06/2019 State Social Detoxification Amendment Application (PDF, 9.75 MB) View Comments
02/01/2019 SUD Dental Amendment Approval (PDF, 999.97 KB)
12/05/2018 Quarterly Report July-September 2018 (PDF, 340.51 KB)
10/11/2018 Annual Report July 2017-June 2018 (PDF, 308.14 KB)
08/10/2018 Draft Evaluation Design (PDF, 577.61 KB)
07/12/2018 CMS Completeness Letter (PDF, 117.67 KB)
07/05/2018 CMS Completeness Letter (PDF, 117.26 KB)
06/29/2018 Amendment Request (PDF, 7.66 MB) View Comments
06/21/2018 State June 2018 Amendment Application (PDF, 6.55 MB) View Comments
05/31/2018 Quarterly Report January-March 2018 (PDF, 345.08 KB)
03/29/2018 DY16 Q2 Monitoring Report October-December 2017 (PDF, 934.3 KB)
11/30/2017 UT PCN Extension State Acceptance Letter (PDF, 1.12 MB)
11/09/2017 UT PCN SUD Implementation Protocol Approval (11/09/2017) (PDF, 326.07 KB)
10/31/2017 CMS Extension Approval (PDF, 582.3 KB)
08/30/2017 UT PCN Amendment CMS Completeness Determination (08/30/17) (PDF, 124.41 KB)
08/15/2017 August 2017 Amendment Request - Withdrawn (PDF, 2.82 MB) View Comments
07/26/2017 Dental Benefits for Blind and Disabled Individuals Amendment Acceptance Letter (PDF, 957.64 KB)
06/29/2017 Dental Benefits for Blind and Disabled Individuals Amendment Approval (PDF, 479.5 KB)
02/17/2017 Dental Benefits for Blind and Disabled Individuals Amendment Completeness Determination (PDF, 110.15 KB)
02/01/2017 Dental Benefits for Blind and Disabled Individuals Amendment Request (PDF, 1.96 MB) View Comments
12/16/2016 Demonstration Approval (12/16/2016) (PDF, 432 KB)
08/19/2016 CMS Complete Letter (08/19/2016) (PDF, 65.03 KB)
08/19/2016 State Application – 2016 extension Application (PDF, 11.13 MB) View Comments
07/15/2016 CMS Incomplete Letter (07/15/2016) (PDF, 33.4 KB)
01/12/2016 CMS Completeness Letter (01/12/2016) (PDF, 91.84 KB)
11/19/2015 Temporary Extension Letter (11/19/2015) (PDF, 90.73 KB)
07/09/2015 CMS Incomplete Letter (07/09/2015) (PDF, 484.08 KB)
06/26/2015 1-Year Extension Application (06/26/15) (PDF, 14.81 MB) View Comments
12/23/2014 Coverage Application Letter (12/23/2014) (PDF, 100.78 KB)
12/19/2014 Demonstration Approval (12/19/2014) (PDF, 463.18 KB)
12/24/2013 Temporary Extension Letter (12/24/2013) (PDF, 103.6 KB)
11/14/2013 Approval of Temporary Extension Letter (11/14/13) (PDF, 81.24 KB)
07/01/2013 1115 Demo Waiver (07/01/13-06/30/13) (PDF, 8.5 MB)
07/01/2013 1115 Demo Waiver (07/01/13-06/30/16) (PDF, 8.5 MB)
01/14/2013 Approval of Extension Request Letter (01/14/13) (PDF, 102.47 KB)
12/19/2012 Request for Extension Letter (12/19/12) (PDF, 50.94 KB)
12/19/2012 Request for Extension Letter (12/19/12) (PDF, 102.47 KB)
09/28/2012 Approval to Amend Letter (09/28/12) (PDF, 54.75 KB)
07/01/2010 Special Terms and Conditions (07/01/10-06/30/13) (PDF, 267.13 KB)
07/01/2010 Waiver List (07/01/10-06/30/13) (PDF, 22.86 KB)
Matchable Authorities (PDF, 28.71 KB)
Return to State Waivers List