Utah Medicaid API services
Welcome to Utah Medicaid's API information page
Utah Medicaid now lets Medicaid members share their health information with third-party health apps. If they choose to use one of these apps, Medicaid will safely send their health records, at their request.
Prior authorization APIUtah Medicaid makes it faster and easier to approve medical care. Prior authorization decisions will be made within 72 hours for urgent requests and within 7 calendar days for standard requests. If a request is denied, we will tell you the exact reason why.
Payer-to-Payer APIUtah Medicaid makes it easier for health insurance plans to share Medicaid member medical records with one another. When a member switches health plans, their old and new plans can send their health data back and forth safely. This Payer-to-Payer data exchange will help ensure continuity of care and reduce the administrative burden when members switch insurance plans.
Provider access APIUtah Medicaid now makes it easier for healthcare providers to access Medicaid member's medical records. Medicaid providers can safely request health records directly from Utah Medicaid when they are actively treating a member.
Utah Medicaid protects health data using standard, high-security formats to keep your information safe and private, including:
- HL7© FHIR©
- United States Core Data and Interoperability (USCDI)
- CARIN Common Payer Consumer Dataset (CPCDS)
- CARIN IG for Blue Button© (C4BB)