Under the 21st Century Cures Act, State Medicaid Agencies must require all Ordering, Referring, and Prescribing (ORP) providers to enroll with the state Medicaid agency as a Medicaid provider. Medicaid Ordering and Referring Provider Update

Get the Provider Billing and Claims Q&A schedule. To help provider offices with these changes, virtual calls have been scheduled so that providers can efficiently ask questions and get answers. There may be a learning curve to submitting claims for payment. Any paper claims that are received will be securely destroyed and no longer returned to providers or their vendors. With the new PRISM system, paper claims are no longer accepted. After a soft go-live in January 2023, PRISM is now fully operational with the following components: The Provider Enrollment component of PRISM was implemented in 2016 and updated in June 2020. In April 2023, Utah Medicaid replaced the Utah Medicaid Management Information System (MMIS) with a new system called Provider Reimbursement Information System for Medicaid (PRISM).