OBSOLETE POLICY CHIP MANUAL |
This section describes the benefits that recipients may receive and explains how to decide the date their benefits will begin. Specific benefits covered by CHIP may change periodically as a result of actions taken by the department, the legislature, or the federal government. This section provides some general information about the type of services or benefits an enrollee may receive, and in some cases may describe some limits on certain services and the processes for obtaining certain services. This section does not, and cannot, attempt to fully describe all covered services or the extent of any particular coverage.
CHIP eligible enrollees receive medical, dental, and behavioral health benefits.
CHIP benefits are provided by Medical and Dental Plans (Managed Care Organizations) that are contracted with the Department of Health. CHIP enrollees are required to select a Medical and Dental Plan by contacting a Health Program Representative with the Department of Health at 1-866-608-9422 or online at www.health.utah.gov/umb. Enrollees will also receive a plan specific Member Handbook from their selected Medical and Dental Plans. The Member Handbook includes an explanation of covered benefits and a provider directory.
Enrollees may view information on benefits, providers, forms, and cost sharing (co-pays, deductibles, etc.) online at www.health.utah.gov/umb. CHIP enrollees may call their selected Medical or Dental Plans to find out if a particular service is covered by CHIP.
There are two levels of benefits under CHIP:
Plan B (CI2) - For eligible children whose countable income is from 134%-150% of the FPL.
Plan C (CI3) - For eligible children whose countable income is from 151% - 200% of the FPL.