Healthcare Assistance for Single Mothers in Utah
Last Updated on September 22, 2025 by Rachel
Utah Healthcare Assistance for Single Mothers: Medicaid, CHIP & More [2025]
Last updated: September 2025
This guide gives you the exact steps, current dollar amounts, and direct links you need to get health coverage for yourself and your kids in Utah. It’s built for single moms who don’t have time to chase answers.
Quick help (start here)
- Call the Department of Workforce Services (DWS) to apply or ask eligibility questions: 1‑866‑435‑7414 (Salt Lake area 801‑526‑0950). Apply online through myCase. (medicaid.utah.gov, mydoorway.utah.gov)
- For CHIP (children’s coverage) info or to apply by phone: 1‑877‑KIDS‑NOW (1‑877‑543‑7669). (medicaid.utah.gov)
- Pregnant and need coverage right now? Ask a clinic about Baby Your Baby (BYB) or Hospital Presumptive Eligibility (HPE) for temporary Medicaid while your full application is processed. BYB help line: 1‑800‑826‑9662. (medicaid.utah.gov)
- Need help picking a Medicaid plan or finding a doctor? Call a Health Program Representative (HPR): 1‑866‑608‑9422. (medicaid.utah.gov)
- Free, local application help (Medicaid/CHIP/Marketplace): Take Care Utah 801‑433‑2299. (takecareutah.org)
- Mental health crisis now: call or text 988 (24/7). Warm Line for non‑crisis support: 833‑SPEAK‑UT (833‑773‑2588), 8am–11pm daily. (healthcare.utah.edu)
- Find a nearby clinic (sliding‑fee/low‑cost): use AUCH’s health center locator. (auch.org)
What you can get in Utah (2025 snapshot)
- Medicaid for adults (including single moms), parents/caretakers, pregnant women, and kids
- CHIP for kids and teens under 19 (including State CHIP for some non‑citizen children)
- Family Planning Medicaid (birth control services) for higher incomes
- UPP (Utah’s Premium Partnership) to help pay employer insurance premiums
- Behavioral health, dental, pharmacy, and special programs like Baby Your Baby and HPE
Every program below includes current income limits, how to apply, documents you’ll need, and what to do if Plan A doesn’t work.
First steps to apply (fastest path)
- Apply online (recommended): create or sign in to your UtahID and submit a medical (Medicaid/CHIP) application in myCase. You can also apply in person at any DWS Employment Center or by mail/fax. Processing is typically within 30 days (90 days if disability is involved). (medicaid.utah.gov, oepmanuals.dhhs.utah.gov)
- If you’re pregnant and need prenatal care now, ask a clinic about BYB or HPE for temporary coverage today while DWS completes your full application. (medicaid.utah.gov)
- If your kids need coverage and income is a bit too high for Medicaid, apply for CHIP. It’s year‑round. (medicaid.utah.gov)
- Keep your phone on and check your mail/myCase. DWS will send a verification checklist with a deadline. Don’t miss it—missing paperwork is the #1 reason for delays and denials. (mydoorway.utah.gov)
Required documents (have these ready)
- ID for you and kids, proof of Utah residency (lease, utility bill)
- Social Security numbers (if you have them)
- Proof of income for the last 30 days (pay stubs or employer letter)
- Pregnancy verification (for the Pregnant Woman program)
- Immigration papers for non‑citizens who are applying (many statuses qualify)
DWS will tell you exactly what’s needed and give you a deadline to upload/turn it in. (medicaid.utah.gov)
2025 income limits in Utah (monthly amounts)
Use these to see where your family fits. Amounts below are the official monthly limits effective March 1, 2025 (or as noted). “FPL” means federal poverty level. (oepmanuals.dhhs.utah.gov)
A) Medicaid categories for moms and kids (monthly income)
| Household size | Parents/Caretaker (PCR) | Pregnant Woman (139% FPL) | Child 0–5 (139% FPL) | Child 6–18 (133% FPL) |
|---|---|---|---|---|
| 1 | $438 | $1,813 | $1,813 | $1,735 |
| 2 | $544 | $2,450 | $2,450 | $2,345 |
| 3 | $678 | $3,087 | $3,087 | $2,954 |
| 4 | $797 | $3,725 | $3,725 | $3,564 |
| 5 | $912 | $4,362 | $4,362 | $4,173 |
| 6 | $1,012 | $4,999 | $4,999 | $4,783 |
Source: Utah Medicaid Table VII, Effective 3/1/2025. (oepmanuals.dhhs.utah.gov)
B) Adult Expansion Medicaid (most single adults 19–64) (133% FPL, monthly)
| Household size | Monthly limit |
|---|---|
| 1 | $1,735 |
| 2 | $2,345 |
| 3 | $2,954 |
| 4 | $3,564 |
| 5 | $4,173 |
| 6 | $4,783 |
Source: Utah Medicaid Table VII, Effective 3/1/2025. (oepmanuals.dhhs.utah.gov)
C) CHIP income limits (kids under 19), monthly (effective 3/1/2025)
| Household size | Plan B (≤150% FPL) | Plan C (≤200% FPL) |
|---|---|---|
| 1 | $1,957 | $2,609 |
| 2 | $2,644 | $3,525 |
| 3 | $3,332 | $4,442 |
| 4 | $4,019 | $5,359 |
| 5 | $4,707 | $6,275 |
| 6 | $5,394 | $7,192 |
Source: Utah CHIP Policy Manual Table I, Effective 3/1/2025. (oepmanuals-chip.dhhs.utah.gov)
D) Family Planning Medicaid (birth control services only) — 250% FPL, monthly (for reference)
| Household size | Approx. monthly 250% FPL |
|---|---|
| 1 | $3,261 |
| 2 | $4,407 |
| 3 | $5,553 |
| 4 | $6,698 |
| 5 | $7,844 |
| 6 | $8,990 |
Utah law directs DHHS to cover family planning up to 250% FPL; the table shows 250% FPL monthly amounts in Utah’s 2025 Table VII. (le.utah.gov, oepmanuals.dhhs.utah.gov)
Pregnant? How to get covered right away
- Apply for the Pregnant Woman program (139% FPL). Coverage runs from your application date through 12 months after your baby is born—no rechecks during that period. Spenddown is not allowed for this specific program (but see Medically Needy below). (medicaid.utah.gov)
- If your income is too high for the standard Pregnant Woman program, ask DWS about “Pregnant Woman Medically Needy” (spenddown). If you meet spenddown anytime during pregnancy, you stay covered through pregnancy and the 12‑month postpartum period. (jobs.utah.gov)
- If you need temporary coverage today, ask a clinic about BYB or HPE. BYB covers pregnancy‑related outpatient care while your full Medicaid is pending; HPE can be granted at participating hospitals (once per pregnancy). (medicaid.utah.gov)
- Utah extended postpartum coverage to a full 12 months starting January 1, 2024 (Medicaid and CHIP moms). (bepmanuals.health.utah.gov)
What to do if this doesn’t work
- If Medicaid is still denied, apply for a subsidized Marketplace plan at HealthCare.gov (open enrollment usually Nov 1–Jan 15; special enrollment if you had a qualifying life event). Free help: Take Care Utah 801‑433‑2299. (insurance.utah.gov, takecareutah.org)
Children’s Health Insurance Program (CHIP) and State CHIP
What CHIP covers: well‑child visits, immunizations, doctor visits, hospital, ER, prescriptions, hearing/vision, mental health, and dental. Preventive care and dental cleanings have no copay. Apply year‑round. (medicaid.utah.gov)
Costs you may pay (current policy):
- Plan B: $30 per family per quarter
- Plan C: $75 per family per quarter
- State CHIP (for eligible non‑citizen kids): $75 per family per quarter
- Out‑of‑pocket maximum (OOPM) for CHIP = 5% of family income each certification period. For State CHIP, Utah sets a flat OOPM based on family size (see table below). (bepmanuals.health.utah.gov, oepmanuals-chip.dhhs.utah.gov)
State CHIP (for some non‑citizen children)
Utah now operates “State CHIP” so low‑income, non‑citizen children who can’t get Medicaid/CHIP due to citizenship status can still get medical, dental, and mental health coverage. A special open enrollment started May 1, 2025; as of July 21, 2025, 1,503 children were enrolled (capacity about 2,000). Call 1‑877‑543‑7669 to apply. Public charge does not apply. (chip.utah.gov)
State CHIP OOP maximums (annual)
| Household size | OOP Max |
|---|---|
| 1 | $1,565 |
| 2 | $2,115 |
| 3 | $2,665 |
| 4 | $3,215 |
| 5 | $3,765 |
| 6 | $4,315 |
Effective 3/1/2025. (oepmanuals-chip.dhhs.utah.gov)
How to apply and get help
- Online or phone via CHIP site or call 1‑877‑KIDS‑NOW. For questions on premiums or health plan selection, call HPR: 1‑866‑608‑9422. (medicaid.utah.gov, oepmanuals-chip.dhhs.utah.gov)
What to do if this doesn’t work
- If income is too high for CHIP, check Marketplace plans with subsidies. See “Marketplace fallback” below and call Take Care Utah 801‑433‑2299 for free help. (takecareutah.org)
Adult Expansion Medicaid (single moms 19–64)
If your monthly income is at or below the Adult Expansion limits (see table above), you can get full Medicaid (medical, pharmacy, behavioral health). If your job offers affordable, qualifying insurance, Utah may require you to enroll in that plan and will help with your share of the premium (see UPP below). No asset test. Ages 19–64; not pregnant. (jobs.utah.gov)
Pick a health plan (ACO) if you live in an ACO county. Current ACOs:
- Health Choice Utah: 1‑877‑358‑8797
- Healthy U: 1‑888‑271‑5870
- Molina: 1‑888‑483‑0760
- SelectHealth Community Care: 1‑855‑442‑3234 (medicaid.utah.gov)
Need help comparing ACOs or finding a provider? Call HPR 1‑866‑608‑9422. (medicaid.utah.gov)
What to do if this doesn’t work
- If your income is just above the limit, estimate whether family planning‑only coverage (250% FPL) can help with low‑cost birth control while you use a Marketplace plan for medical care; see family planning below and “Marketplace fallback.” (le.utah.gov)
Parents/Caretaker Relatives (PCR) Medicaid
Very low monthly income limits (see table). Must have a dependent child in the home; cooperation with child support/medical support may be required. If you later earn more and lose PCR Medicaid, you may qualify for 12‑Month Transitional Medicaid if you had PCR in 3 of the last 6 months. (rules.utah.gov, oepmanuals.dhhs.utah.gov)
What to do if this doesn’t work
- See “Adult Expansion Medicaid” or “UPP” for help paying employer coverage if you’re over PCR limits but still need affordable coverage. (jobs.utah.gov, oepmanuals.dhhs.utah.gov)
Family Planning Medicaid (birth control only)
Utah covers family planning services for low‑income adults up to 250% FPL. This includes contraceptive counseling, most birth control methods, and (per Medicaid pharmacy rules) up to three‑month supplies of contraceptives at a time. Apply through DWS like any medical program. (le.utah.gov, rules.utah.gov)
What to do if this doesn’t work
- If you’re above the income limit, Utah pharmacies can dispense certain hormonal birth control under a statewide standing order; you pay the pharmacy/consult fee or use private insurance. (mihp.utah.gov)
UPP: Utah’s Premium Partnership (money for job‑based insurance)
If you (or your kids) can join employer coverage or COBRA, UPP can help pay your share of the premium every month.
- Current maximum reimbursements: 300peradult∗∗,∗∗300 per adult**, **180 per child, plus $20 per child if enrolled in employer dental coverage. Checks are mailed monthly after you show proof of enrollment and premium amount. Effective May 1, 2024. (oepmanuals.dhhs.utah.gov)
- Important: You must apply for UPP before your job’s coverage starts (COBRA can apply anytime). UPP usually contacts you within about two weeks. (medicaid.utah.gov)
- UPP income rules are similar to CHIP/Medicaid for kids (≤200% FPL for children) and use the same family income counting. (oepmanuals.dhhs.utah.gov)
Real‑world example
- One mom + two kids; employer plan costs **600/month∗∗forthefamily.UPPdividesby3=600/month** for the family. UPP divides by 3 = 200/person. Kids each get the max **180∗∗(180** (360 total). The adult gets the lower of the remainder or max 300;300; 600 − 360=360 = 240, so mom gets 240∗∗.TotalUPP=∗∗240**. Total UPP = **600/month. (oepmanuals.dhhs.utah.gov)
What to do if this doesn’t work
- If your job insurance is too expensive even with UPP, compare a Marketplace plan with subsidies during open enrollment or a special enrollment period. See below. (insurance.utah.gov)
Behavioral health and crisis support
- Medicaid covers mental health and substance use treatment (through your ACO or local behavioral health network). Call HPR 1‑866‑608‑9422 for help finding in‑network services. (medicaid.utah.gov)
- 24/7 crisis: 988 connects you to the Utah Crisis Line at Huntsman Mental Health Institute (HMHI). For in‑person adult crisis care, you can walk in to HMHI’s 24/7 Crisis Care Center in South Salt Lake. Non‑crisis peer support: Utah Warm Line 833‑SPEAK‑UT. (healthcare.utah.edu)
Dental coverage (Medicaid and CHIP)
- Dental is covered for kids on Medicaid/CHIP (cleanings, fillings, some specialty care; orthodontics only in limited clinical situations). Pregnant women on Medicaid also have dental coverage. Adults on certain Medicaid programs (e.g., Aged, Blind, Disabled; Targeted Adult Medicaid) have dental benefits; other adults may have limited coverage. Call HPR for help, or check the Dental Coverage & Plans page. (medicaid.utah.gov)
- To find a dentist, use your plan’s directory or call HPR 1‑866‑608‑9422. State oral health resources can also help with low‑cost options. (medicaid.utah.gov)
What to do if this doesn’t work
- If you don’t have dental benefits right now, look for sliding‑fee community clinics (see regional resources) and ask about payment plans for urgent needs. AUCH’s locator is a good starting point. (auch.org)
Prescriptions and medical supplies
- Utah Medicaid uses a Preferred Drug List (PDL) with updates each month. 90‑day supplies are allowed for some medications; contraceptives may be dispensed for up to a three‑month supply. Ask your pharmacist if prior authorization is needed. (medicaid.utah.gov, rules.utah.gov)
WIC: nutrition support for pregnant/postpartum moms and kids under 5
- If you’re on Medicaid, SNAP, or TANF, you’re income‑eligible for WIC. Utah WIC income guidelines (July 1, 2025–June 30, 2026): for a family of 3, monthly before‑tax income up to 4,109∗∗;for4,upto∗∗4,109**; for 4, up to **4,957. Apply online or request an appointment. (wic.utah.gov)
Marketplace fallback (if you’re over Medicaid/CHIP limits)
- Utah uses HealthCare.gov. Open Enrollment for 2026 coverage is expected to run Nov 1, 2025 – Jan 15, 2026 in most states, with mid‑month deadlines for January 1 coverage. Outside that window, you need a qualifying life event for a Special Enrollment Period. See the Utah Insurance Department’s Open Enrollment page for updates. Free help: Take Care Utah 801‑433‑2299. (healthinsurance.org, insurance.utah.gov, takecareutah.org)
How to apply (step‑by‑step)
- Online: use myCase (UtahID required). It’s the fastest. (medicaid.utah.gov)
- Phone: DWS 1‑866‑435‑7414 (Salt Lake 801‑526‑0950). (medicaid.utah.gov)
- In person: visit a DWS Employment Center (use the state locator to find the closest office). (mydoorway.utah.gov)
- Timelines: DWS must make a decision within 30 days for most Medicaid/CHIP applications (90 days for disability‑based). Respond quickly to any verification requests. (oepmanuals.dhhs.utah.gov, rules.utah.gov)
Common documents to upload
- Photo ID, proof of Utah address, SSNs (if available), income proof for the last 30 days, pregnancy verification, immigration documents (if applicable). (medicaid.utah.gov)
Quick Reference Cheat Sheet (keep this handy)
- Apply/eligibility questions (DWS): 1‑866‑435‑7414; online through myCase. (medicaid.utah.gov)
- CHIP info/apply: 1‑877‑KIDS‑NOW. (medicaid.utah.gov)
- Pregnancy immediate help: BYB 1‑800‑826‑9662; Hospital Presumptive Eligibility via participating hospitals. (medicaid.utah.gov)
- Plan help/provider search (HPR): 1‑866‑608‑9422. (medicaid.utah.gov)
- Mental health crisis: 988. Warm Line: 833‑SPEAK‑UT. (healthcare.utah.edu)
- Free application help: Take Care Utah 801‑433‑2299. (takecareutah.org)
- Community health centers: AUCH locator. (auch.org)
Application Checklist (print or screenshot)
- UtahID login info
- Last 30 days of income proof for everyone working
- Photo ID and proof of Utah address
- Social Security numbers (if you have them)
- Pregnancy verification (if applying as pregnant)
- Immigration documents (if applicable)
- Employer insurance details (if you might use UPP)
- A list of your doctors/clinics and current prescriptions (helps with plan selection)
Common mistakes to avoid (and how to fix them)
- Missing the verification deadline. Upload documents in myCase as soon as you get the checklist; call DWS if you need more time before the due date. (mydoorway.utah.gov)
- Applying after your job insurance begins when you want UPP. UPP requires you to apply before the plan starts (COBRA is the exception). (medicaid.utah.gov)
- Not picking a Medicaid ACO in time if you live in an ACO county. Call HPR to avoid gaps in care and to switch plans during your 90‑day change window. (medicaid.utah.gov)
- Assuming pregnancy coverage ends at 60 days postpartum. Utah provides 12 months postpartum Medicaid/CHIP coverage. If you lost coverage, call DWS to correct it. (bepmanuals.health.utah.gov)
- Skipping CHIP because of premiums. Plan B is only 30/quarter∗∗perfamily;PlanCis∗∗30/quarter** per family; Plan C is **75/quarter with a 5%‑of‑income OOP cap. State CHIP has the same $75 quarterly premium and flat OOP max by family size. (bepmanuals.health.utah.gov, oepmanuals-chip.dhhs.utah.gov)
Real‑world timelines (what to expect)
- Online application: many approvals within 2–4 weeks if documents are uploaded quickly; up to 30 days allowed by policy (90 for disability). (oepmanuals.dhhs.utah.gov)
- BYB/HPE: same‑day temporary coverage decision at participating sites; your ongoing Medicaid decision follows the normal 30‑day timeframe. (medicaid.utah.gov)
- CHIP: eligibility determination within 30 days of application; you’ll get an invoice for the quarterly premium (if owed). (rules.utah.gov)
Help with health plan choices and providers
- If you live in Box Elder, Cache, Davis, Iron, Morgan, Rich, Salt Lake, Summit, Tooele, Utah, Wasatch, Washington, or Weber County, you must choose a Medicaid ACO. Call HPR 1‑866‑608‑9422 to compare networks. (medicaid.utah.gov)
- Preferred Drug List updated monthly; ask your plan or pharmacist for covered options and whether a prior authorization is needed. (medicaid.utah.gov)
Diverse communities: tailored tips and resources
LGBTQ+ single mothers
- Medicaid and CHIP eligibility is based on income, family size, and household rules; your sexual orientation or gender identity doesn’t affect eligibility. For mental health support or crisis, call 988; for peer support, Utah Warm Line 833‑SPEAK‑UT. (healthcare.utah.edu)
Single mothers with disabilities or disabled children
- Children on Medicaid get comprehensive EPSDT benefits (medical, dental, vision). Adults who qualify under Aged, Blind, or Disabled may have enhanced dental benefits. Call DWS for eligibility help and HPR for benefit questions. (medicaid.utah.gov)
Veteran single mothers
- If you don’t qualify for VA care or need coverage for children, apply for Medicaid/CHIP. If income is too high, use HealthCare.gov; free, local enrollment help: Take Care Utah 801‑433‑2299. (takecareutah.org)
Immigrant/refugee single moms
- Many non‑citizens qualify for Medicaid/CHIP depending on status. If your kids can’t get traditional Medicaid/CHIP due to citizenship, apply for State CHIP (open enrollment launched May 1, 2025; capacity is limited). Public charge does not apply to State CHIP. Call 1‑877‑543‑7669. (chip.utah.gov)
Tribal citizens
- You can use Medicaid/CHIP at Indian Health Service (IHS) or tribal clinics and keep your coverage. If you need help finding a clinic or applying, call HPR 1‑866‑608‑9422.
Rural single moms with limited access
- Use AUCH’s locator to find the nearest community health center (many offer telehealth, sliding‑fee discounts, and enrollment help). For crisis mental health, call 988 from anywhere in Utah. (auch.org, healthcare.utah.edu)
Single fathers raising kids
- All programs here apply equally to single dads. CHIP and Medicaid for kids are based on the child’s household. HPR can help you pick a pediatric provider. (medicaid.utah.gov)
Language access
- DWS and Medicaid provide interpreter services at no cost. You can request application help in other languages by calling DWS 1‑866‑435‑7414. (mydoorway.utah.gov)
Local organizations and clinics (by region)
Wasatch Front (Salt Lake, Davis, Weber, Utah Counties)
- Fourth Street Clinic (Salt Lake City) — health, dental, pharmacy, behavioral health for people experiencing homelessness. Medical appt line 801‑364‑0058; Dental 385‑234‑5725. (fourthstreetclinic.org)
- Maliheh Free Clinic (Salt Lake County) — free care for uninsured; 801‑266‑3700. (malihehfreeclinic.org)
- Community Health Connect (Utah County) — connects uninsured patients to volunteer specialists; 801‑818‑3015. (utahchc.org)
- AUCH health centers — multiple sites across the Wasatch Front; sliding‑fee; enrollment help. (auch.org)
Summit/Wasatch
- People’s Health Clinic (Park City) — free care for uninsured Summit/Wasatch residents; 435‑333‑1850. (peopleshealthclinic.org)
Northern/Central/Eastern Utah
- AUCH member clinics (Bear Lake, Carbon Medical Services, etc.) — use the AUCH map to find the closest site. (auch.org)
Southern Utah
- Doctors’ Volunteer Clinic (St. George) — medical, dental, behavioral health for uninsured/low‑income; 435‑656‑0022. (volunteerclinic.org)
Statewide referrals and info
- 211 Utah — call 211 or 888‑826‑9790; text your ZIP to 801‑845‑2211 for health, dental, mental health, transportation, and more. (211utah.org)
Where to contact your local DWS office
- Use the state’s portal to find the nearest Employment Center and get in‑person help with applications: select “Find an office near you.” Or call DWS customer service 1‑866‑435‑7414. (mydoorway.utah.gov)
Tables you can use when you compare options
CHIP quarterly premiums at a glance
| CHIP plan | Quarterly premium (per family) |
|---|---|
| Plan B (≤150% FPL) | $30 |
| Plan C (≤200% FPL) | $75 |
| State CHIP | $75 |
Source: Utah CHIP Policy Manual, 602 Cost Sharing (Effective 1/1/2024; still current as of 2025 updates). (bepmanuals.health.utah.gov)
State CHIP — annual out‑of‑pocket maximums (2025)
| HH size | OOP max | HH size | OOP max |
|---|---|---|---|
| 1 | $1,565 | 4 | $3,215 |
| 2 | $2,115 | 5 | $3,765 |
| 3 | $2,665 | 6 | $4,315 |
Effective 3/1/2025. (oepmanuals-chip.dhhs.utah.gov)
Adult Expansion vs. Marketplace (quick compare)
| Feature | Adult Expansion Medicaid | Marketplace plan (HealthCare.gov) |
|---|---|---|
| Eligibility | ≤133% FPL (see table) | Any income; subsidies usually >100% FPL |
| Enrollment | Year‑round | Open Enrollment (Nov 1–Jan 15) or SEP |
| Premiums | $0 | Subsidized based on income |
| Cost‑sharing | Minimal/none | Varies by metal level |
| Provider network | ACO network | Private insurer networks |
| Where to start | DWS/myCase | HealthCare.gov; local assisters |
Dates and rules per Utah Medicaid and Utah Insurance Department. (oepmanuals.dhhs.utah.gov, insurance.utah.gov)
UPP monthly reimbursements (current maximums)
| Person type | Max per month |
|---|---|
| Adult | $300 |
| Child | $180 |
| Child dental add‑on | $20 |
Effective 5/1/2024. (oepmanuals.dhhs.utah.gov)
WIC income guidelines (Utah 2025–2026)
| HH size | Monthly max income |
|---|---|
| 1 | $2,413 |
| 2 | $3,261 |
| 3 | $4,109 |
| 4 | $4,957 |
| 5 | $5,805 |
| 6 | $6,653 |
Utah WIC (effective 7/1/2025–6/30/2026). (wic.utah.gov)
FAQs (Utah‑specific)
- How fast can I get coverage if I’m pregnant?
BYB/HPE can provide same‑day temporary coverage for pregnancy‑related services while your full Medicaid application is processed (up to 30 days for a decision). (medicaid.utah.gov, oepmanuals.dhhs.utah.gov) - How long does postpartum Medicaid last in Utah?
A full 12 months from the date your pregnancy ends (Medicaid or CHIP mom). (bepmanuals.health.utah.gov) - My income is a little too high for Medicaid for my kids. What should I try next?
Apply for CHIP. For a family of 4, children may qualify up to 5,359/month∗∗(2005,359/month** (200% FPL). Premiums are low: **30 or $75 per quarter depending on plan. (oepmanuals-chip.dhhs.utah.gov, bepmanuals.health.utah.gov) - Can undocumented children get coverage in Utah?
Possibly through State CHIP (non‑citizen kids). Funding is limited; open enrollment began May 1, 2025. Call 1‑877‑543‑7669. Public charge does not apply. (chip.utah.gov) - I have job‑based insurance available, but I can’t afford my share. Help?
Apply for UPP before your job plan starts. You can get up to 300/adult∗∗and∗∗300/adult** and **180/child per month toward premiums (plus $20/child for dental if enrolled). (oepmanuals.dhhs.utah.gov) - How do I pick a Medicaid health plan?
If you live in an ACO county, you choose among Health Choice, Healthy U, Molina, and SelectHealth Community Care. Call HPR 1‑866‑608‑9422 for help comparing networks. (medicaid.utah.gov) - Does Medicaid cover dental in Utah?
Yes for kids and pregnant women; coverage for other adults depends on the program (e.g., ABD, Targeted Adult Medicaid). Check “Dental Coverage & Plans” or call HPR. (medicaid.utah.gov) - How long will DWS take to decide my case?
Most Medicaid/CHIP decisions are due within 30 days (90 if disability). Upload requested documents quickly to avoid delays. (oepmanuals.dhhs.utah.gov) - I missed Open Enrollment for HealthCare.gov. What now?
You may qualify for a Special Enrollment Period (life changes like losing coverage, moving, etc.). Otherwise, you can enroll in Medicaid/CHIP year‑round if eligible. Get free help from Take Care Utah 801‑433‑2299. (insurance.utah.gov) - Where can I get in‑person help with my application?
Visit a DWS Employment Center (find an office near you) or call 1‑866‑435‑7414. Community health centers and Take Care Utah also help with applications at no cost. (mydoorway.utah.gov, auch.org)
What to do if you’re denied
- Read the denial notice carefully. Fixable issues are usually missing verifications or a misunderstanding about income or household size.
- Call DWS (1‑866‑435‑7414) and ask what specific proof is needed or whether another program (CHIP, Family Planning, UPP) may fit better.
- You can appeal or request a fair hearing if you believe the decision is wrong. See the Medicaid “Appeals and Fair Hearings” info. (medicaid.utah.gov)
About this Guide
Compiled by the ASingleMother.org Editorial Team
This guide uses official sources from the Utah Department of Health and Human Services, Department of Workforce Services, Utah Insurance Department, USDA/WIC, and established nonprofits (AUCH, HMHI, Take Care Utah). It follows our Editorial Standards and E‑E‑A‑T practices to cite current, primary sources and to link you directly to applications and official forms. Our full editorial policy is here. Last verified September 2025; next review April 2026. Send corrections to info@asinglemother.org. (asinglemother.org)
Disclaimer
Program rules, income limits, premiums, and provider networks can change. Always check the official agency pages and notices you receive from DWS, Utah Medicaid, or CHIP for the latest details. We are researchers, not your caseworkers or attorneys; this is general information, not legal advice. We test links and update regularly, but if you find a broken link or outdated number, please email info@asinglemother.org so we can fix it quickly. For your privacy, don’t email personal health information—use secure portals (myCase) for documents.
Security note: To keep your information safe, use official Utah sites (addresses ending in .utah.gov or .gov) and secure portals when uploading documents. Avoid sharing SSNs or medical details over email or text unless the agency provides a secure method.
Sources (selected)
- Apply for Medicaid (how to apply; contact numbers; mail/fax/in‑person options). (medicaid.utah.gov)
- Utah Medicaid Income Limits (Table VII, effective 3/1/2025). (oepmanuals.dhhs.utah.gov)
- CHIP income limits (Table I, effective 3/1/2025). (oepmanuals-chip.dhhs.utah.gov)
- CHIP premiums and cost‑sharing (602 Cost Sharing; premiums 30/30/75). (bepmanuals.health.utah.gov)
- State CHIP OOP maximums (Table I‑B, effective 3/1/2025). (oepmanuals-chip.dhhs.utah.gov)
- State CHIP overview and 2025 enrollment update. (chip.utah.gov)
- UPP program benefits (max 300adult/300 adult / 180 child + $20 dental; effective 5/1/2024). (oepmanuals.dhhs.utah.gov)
- Adult Expansion program basics. (jobs.utah.gov)
- BYB & Pregnant Woman coverage, postpartum 12‑month conversion. (medicaid.utah.gov, bepmanuals.health.utah.gov)
- HPE overview. (medicaid.utah.gov)
- ACO list / HPR help. (medicaid.utah.gov)
- Dental coverage and plan info. (medicaid.utah.gov)
- Preferred Drug List updates. (medicaid.utah.gov)
- WIC income guidelines (Utah, effective 7/1/2025–6/30/2026). (wic.utah.gov)
- Open Enrollment timing (Utah Insurance Department). (insurance.utah.gov)
- AUCH health center locator. (auch.org)
- Crisis resources (HMHI/988; Warm Line). (healthcare.utah.edu)
- Local clinics: People’s Health Clinic; Fourth Street Clinic; Doctors’ Volunteer Clinic. (peopleshealthclinic.org, fourthstreetclinic.org, volunteerclinic.org)
- DWS office finder / in‑person help. (mydoorway.utah.gov)
If Plan A fails anywhere in this guide
- Call DWS 1‑866‑435‑7414 and ask for “other medical programs I might qualify for now.”
- Call HPR 1‑866‑608‑9422 for help finding a provider, picking a plan, or fixing a plan issue.
- Call Take Care Utah 801‑433‑2299 for free enrollment and plan help (English/Spanish and other languages). (takecareutah.org)
- Use 211 Utah if you also need help with transportation, child care, food, or rent while you get coverage. (211utah.org)
This is your hub—come back anytime. We keep it updated with the newest numbers and links that work.
🏛️More Utah Resources for Single Mothers
Explore all assistance programs in 34 categories available in Utah
- 📋 Assistance Programs
- 💰 Benefits and Grants
- 👨👩👧 Child Support
- 🌾 Rural Single Mothers Assistance
- ♿ Disabled Single Mothers Assistance
- 🎖️ Veteran Single Mothers Benefits
- 🦷 Dental Care Assistance
- 🎓 Education Grants
- 📊 EITC and Tax Credits
- 🍎 SNAP and Food Assistance
- 🔧 Job Training
- ⚖️ Legal Help
- 🧠 Mental Health Resources
- 🚗 Transportation Assistance
- 💼 Job Loss Support & Unemployment
- ⚡ Utility Assistance
- 🥛 WIC Benefits
- 🏦 TANF Assistance
- 🏠 Housing Assistance
- 👶 Childcare Assistance
- 🚨 Emergency Assistance
- 🤝 Community Support
- 🎯 Disability & Special Needs Support
- 🛋️ Free Furniture & Household Items
- 🏫 Afterschool & Summer Programs
- 🍼 Free Baby Gear & Children's Items
- 🎒 Free School Supplies & Backpacks
- 🏡 Home Buyer Down Payment Grants
- 🤱 Postpartum Health & Maternity Support
- 👩💼 Workplace Rights & Pregnancy Protection
- 💼 Business Grants & Assistance
- 🛡️ Domestic Violence Resources & Safety
- 💻 Digital Literacy & Technology Assistance
- 🤱 Free Breast Pumps & Maternity Support
- 📈 Credit Repair & Financial Recovery
