Monday, May 2, 2016

Medically Complex Children’s Waiver Opens Enrollment: Medicaid Program Now Accepting Applications for 75 New Participants

What: The Utah Department of Health’s Medically Complex Children’s Waiver will open enrollment today and accept applications until Monday, June 6. This program is intended to serve children with disabilities and complex medical conditions, providing them access to respite services, as well as traditional Medicaid services.  

Why: During the 2016 General Legislative Session, the waiver was appropriated an additional $1 million to be spent over the next two years. The new funding will provide services to an additional 75 new applicants. Children currently participating in the program will not need to re-apply. 

In order to qualify for this program, a child must:

  • Be age 0-18
  • Have three or more specialty physicians
  • Have three or more organ systems involvement
  • Demonstrate a level of medical complexity based on a combination of need for device-based supports, high utilization of medical therapies, and treatments and frequent need for medical intervention
  • Have a disability determined by the State Medical Review Board 
When: The program will accept applications from May 2 through June 6. Applicants will not be selected on a first-come-first-served basis. Once the application period ends, if more applications are received than spots available, UDOH clinical staff will review the applications and base entrance into the program on the highest medical complexity and critical needs of the family, as identified through the application process.
Where: Apply online at or print an application and submit by fax (801-323-1593) or by mail (UDOH, Medically Complex Children’s Waiver, DMHF, PO Box 143112, Salt Lake City, UT 84114). To be considered for the program, applications must be received or post-marked on or before Monday, June 6.

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Media Contact:
Kolbi Young
Public Information Specialist
801-538-6847 / 801-231-6350