TABLE V – Telephone Numbers

CHIP Website

www.health.utah.gov/chip

CHIP Information Hotline

1-877-KIDS-NOW

(1-877-543-7669)

CHIP Premium Line (Toll free) (select opt. 1)

CHIP Premium Line (Salt Lake area)

1-866-772-1261

801-538-9004

CHIP Health Plan Selection (select opt. 2)

1-866-772-1261

CHIP Administrative Office

801-538-7075

CHIP Program Manager – Heidi Petersen

801-538-6806

UPP/PCN Program Manager - Jeff Nelson

801-538-6471

CHIP/UPP/PCN Eligibility Policy – Carolyn Evans

801-538-9083

Quality Assurance – Kimra Goble

            Co-payment/Out of Pocket Maximum

801-538-6728

CHIP Fax

801-538-6860

Medicaid Information Hotline

801-538-6155

Toll Free          

Medicaid eligibility policy manual

1-800-662-9651

http://utahcares.utah.gov/infosourcemedicaid/

Medicaid Program/ Policy Specialists

Linda Asa (Medicaid Quality Assurance)

Karen Packard  (Family Medicaid, back-up ABD, except NH)

John Nicoliasen (Medicaid Work Incentive, ABD Medicaid, Medicaid Cost Sharing Programs)

Debbie McBride (NH/Waivers policy & training, back-up ABD)

Gayle M. Six (Rules, State Plan, back-up ABD, Family & NH Medicaid)

ORS Medicaid Information Unit

Questions about insurance coverage (TPL Team)

     TPL Team Manager

     TPL Team Manager

801-536-8798

801-536-8789

801-536-8784

To report possible receipt of insurance/personal

injury settlements:  Eric Hansen

 801-536-8785