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CHIP Program Contact Information Office Director Michelle Smith 385-538-6347 Assistant Office Director Gina Boren 801-538-9082 Program Manager Marcel Larsen-Jones 801-538-6494 Policy Specialist Jeff Dart 801-538-6509 Co-payment & Out of Pocket Maximum HPR 801-526-9422 or 1-866-608-9422 CHIP Information Hotline 1-877-Kids-Now or 1-888-222-2542 CHIP Website www.health.utah.gov/chip Fax # 801-538-6099 Administration Office 801-538-6358 Health Program Representatives (Health Plan Selection) 801-526-9422 or 1-866-608-9422 CHIP Premium Line 801-526-0950 or 1-866-435-7414 option #5 CHIP Online Education Link http://www.health.utah.gov/umb/ Medicaid Policy Specialist UPP, Adult Expansion Employer Sponsored Insurance Premium Reimbursement and Targeted Adult Medicaid Jeff Dart 801-538-6509 Family, MAGI and Adult Expansion Brigham Andrew 801-538-9249 Presumptive Eligibility (BYB & HPE) Jeff McClellan 801-538-6082 Aged, Blind, Disabled and Medical transportation Tammy Berrie 801-538-6534 Nursing Home and HCBS Waivers Jane Ranquist 801-538-6495 Fair Hearing Oversight, Application, Review, Verification, Change Report and General Policy Jessica Ware 801-538-6192 Policy Coordinator Lane London 801-538-6505 Policy Coordinator Wendy Jones 801-538-6472 UPP Premium Specialist Jeff Dart 801-538-6509 For Policy Manual Issues Wendy Jones 801-538-6472 Constituent Services Representative Tracy Barkley 801-538- 6417 or 1-877-291-5583 Fax #801-536-0946 Medicaid Information Hotline, Billing and Prior Authorizations 801-538-6155 or 1-800-662-9651 Medicaid Eligibility Policy Manual https://bepmanuals.health.utah.gov/Medicaidpolicy/DOHMedicaid.htm UPP Website www.health.utah.gov/upp Vital Records Office of Vital Records and Statistics Utah Department of Health P.O. Box 141012 SLC, UT 84114-1012 801-538-6105 or 1-866-632-2602 Fax 801-538-7012 ORS Medicaid Information Unit For questions about insurance coverage, TPL & medical collections. 801-536-8798 To report possible receipt of insurance/personal injury settlements. TPLchanges@utah.gov ORS Part A and Part B Medicare BUY-IN 801-536-8798 extension 14722 Fax: 801-536-0377 ORS Child Support Services 801-536-8500 Other Agency Contact Information Department of Workforce Services Medicaid Eligibility 801-526-0950 or 1-866-435-7414 https://jobs.utah.gov/mycase/ Constituent Services Representative Department of Workforce Services 801-526-4390 or 1-800-331-4341 Department of Workforce Services Payment Error Prevention Unit (Investigations and Overpayments) (801) 526-9810 Toll free: 1-866-647-3862 Fax: (801) 532-2605 eREP HELPDESK 801-526-4357 or 1-866-826-6012