Find a Medicaid Provider
Call 1-800-640-5349 if you need help with the Provider Directory.
Crisis Resources
Assists individuals who may be experiencing a crisis to access support and services as quickly as possible.
24 hour Utah Crisis Line:
1-801-587-3000
Tooele Dispatch Line:
1-435-882-5600
For Network Providers
As the administrator of the Medicaid Behavioral Health funds for Tooele County, Optum works to partner with providers to provide a continuum of services for Medicaid Members.
The information we offer on this site will support providers in assisting clients and their families.
Frequently used reference materials and links include Provider Training information, client forms, manuals, and other important resources are found here, below:
Join the network—FORMS application
Update your provider information HERE
Update your specialties HERE
Medicaid Unwinding Toolkit
- Unwinding Provider FAQs
- MCD member Unwinding letter template
- MCD member Unwinding letter template Spanish
- Medicaid Unwinding Project report directions
- Medicaid Unwinding Provider Training (11.1.23) slides
- Medicaid Unwinding Provider Training (11.1.23) video replay
Utah Resources
Alerts and announcements
- Network Provider Newsletter - Q1 2024
- Network Provider Newsletter - Q4 2023
- Network Provider Newsletter - Q2.Q3 2023
- Network Provider Newsletter - Q1 2023
- Network Provider Newsletter - Q4 2022
- Network Provider Newsletter - Q3 2022
- Network Provider Newsletter - Q2 2022
- Network Provider Newsletter - Q1 2022
Manuals, guidelines, and policies
- Tooele County Provider Manual (Updated 11/2023)
- False Claims Act Provisions
- Optum National Network Manual
- Optum Level of Care Guidelines and other policies
- 2023 Claim Adjudication Calendar
- 2024 Claim Adjudication Calendar and PCONN training calendar
- SAM LEIE Instructions (8.2023)
- Optum Provider Attestation Template (FY23)
"Please be reminded that it is your responsibility to validate if a consumer is Medicaid eligible through the Utah State Medicaid Office. The eligibility "look up" feature through ProviderConnect is not currently available to validate eligibility. We hope to have the connection made in the near future."
Authorized users of ProviderConnect can access their site for additional information.
- Provider Notice of Adverse Benefit Determination
- NABD Appeal Request Form
- NABD Instructions for Filing an Appeal
- Member Acknowledgement Form – English (1.2024)
- Member Acknowledgement Form – Spanish (1.2024)
- Tooele Member Rights Poster - English
- Tooele Member Rights Poster - Spanish
- UT Scale for Children/Adolescents with SED Form
- UT Scale on SMI including SUD Form
Provider training information
Optum is pleased to work with our network to provide training opportunities. Please be sure to take note of registration requirements. Most registrations will close the week prior to the offered training to allow for proper planning of webinar resources as well as provide participants with necessary information to join the sessions.
- March provider training calendar
- April provider training calendar
- May provider training calendar
- June provider training calendar
To register for trainings, click on the link in the calendar or email saltlakecounty.networkbox@optum.com
When applicable, to receive CEUs, you must attend a live training provided by Optum.
- Clinical Skills Training - Discharge Planning - 2023
- Clinical Skills Training - Discharge Planning - 2023 -video
- Clinical Skills Training - Treatment Planning - 2023
- Companion Guide 837I Institutional
- Companion Guide 837P Professional
- Job Aid: ProviderConnect User Guide
- Fraud, Waste and Abuse
- MHER Provider Training
- Program Integrity Exclusions Search
- Provider orientation - 2023
- Suicide Prevention State Plan | SUMH (utah.gov)
OptumHealth Education is a national eLearning portal that is targeted towards medical professionals (MD, PhD, R.N., P.A.) and offers CME and CEU based courses in behavioral health and related learning areas. Network providers can register for a free account at OptumHealth Education website.
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Information about COVID-19 changes daily. Please visit the following sites for additional information:
Tooele County COVID-19 page at https://tooelehealth.org/
The Center for Disease Control’s Coronavirus page at cdc.gov/coronavirus/2019