B. Health/Dental Plan Selection Requirement

CHIP is administered by the Utah Department of Health and Human Services and contracts with medical and dental plans to provide health and dental services.

Individuals who are determined eligible for CHIP must enroll in a medical and dental plan before they can access their benefits or services. All CHIP members will be auto enrolled in their dental plan.

Members must enroll in a medical plan within 2 weeks of approval or a plan will be assigned to them.

Medical plan options include:

Select Health Community Care - 1-800-538-5038

Molina Health Care - 1-888-483-0760

Healthy U CHIP - 1-801-213-0525 or 1-833-404-4300

CHIP dental benefits are provided through Premier Access and members will be auto enrolled in the CHIP dental plan.

Dental plan options include:

Premier Access - 1-877-854-4242

CHIP members can select a medical plan with one of the following options:

By phone: 1-866-608-9422

Email their selection to chiphpr@utah.gov

Note: When selecting a plan via email, they must include their plan selection, case number, name of the primary individual on the case, and their contact information.

Mail the health plan selection form to:

BMHC CHIP HPR

PO Box 143108

SLC, UT 84114

Fax the health plan selection form to 1-801-237-0743

The plan selection form is included in the CHIP member guide and can be accessed online at: www.health.utah.gov/chip/resourcematerials.htm .

Once the member is enrolled in a health and dental plan, they will receive a plan specific member handbook from their selected plans. The member handbook includes an explanation of covered benefits and a provider directory.