Utah Healthcare Consulting
Utah behavioral health & SUD consulting.
Utah-specific consulting for SUD and mental health providers — DHHS licensure, Utah Medicaid ACO contracting, SelectHealth and Regence BCBS strategy, and commercial behavioral carve-out access.
Payers & networks
Where Utah contracting actually happens.
Utah Medicaid ACOs
Contracting with SelectHealth Community Care, Molina Healthcare of Utah, Healthy U (University of Utah Health), and Health Choice Utah.
SelectHealth
SelectHealth Med, Value, Signature, and behavioral health contracting — the dominant commercial network in Utah.
Regence BCBS Utah
Regence BlueCross BlueShield of Utah commercial and Medicare Advantage contracting.
Commercial Behavioral
Optum, Aetna BH, Cigna/Evernorth, Carelon, and Magellan for Utah commercial behavioral and SUD.
DHHS Licensure
Utah Department of Health and Human Services Office of Licensing for SUD and mental health facility programs.
VA CCN Region 4
VA Community Care Network Region 4 (Optum) for Utah veterans.
What we deliver in Utah
End-to-end Utah consulting.
Licensure, accreditation, payer contracting, and revenue cycle — sequenced for the realities of operating in Utah.
- DHHS facility licensure
- Utah Medicaid ACO contracting
- SelectHealth contracting
- Regence BCBS contracting
- Commercial carve-out contracting
- CARF & Joint Commission
- Provider credentialing
- Revenue cycle management
- Compliance & UM prep
- Youth residential support
FAQ
Utah contracting, answered.
- Why is SelectHealth contracting so important in Utah?
- SelectHealth is the largest commercial payer in Utah by membership through its Intermountain Healthcare alignment. Most Utah behavioral and SUD providers need a SelectHealth contract to have a viable commercial payer mix. The network is selective and accreditation is required.
- How does Utah Medicaid behavioral health work?
- Utah Medicaid is split between Accountable Care Organizations (ACOs) for physical health and behavioral health through Prepaid Mental Health Plans (PMHPs) in some regions plus direct fee-for-service in others. We map your service area to the right contracting pathway.
- Are Utah commercial behavioral panels open?
- Wasatch Front is selectively open for SUD and behavioral providers; rural Utah has more capacity. SelectHealth and Regence both require accreditation and a clean DHHS licensure record before considering applications.
- Does Utah have special requirements for youth residential?
- Yes — Utah has tightened oversight of youth residential treatment programs following the 2021 reforms. DHHS Office of Licensing applies enhanced standards for staffing, restraint, and reporting. We help programs meet the new requirements and document compliance for payers.
Operating in Utah
Build a Utah payer mix that holds.
DHHS licensure, Medicaid ACOs, SelectHealth, Regence, and commercial carve-outs — sequenced for Utah's payer concentration.