Medicaid to 26: Utah

Click here for program information. For general instructions, click here.

To apply online, visit https://jobs.utah.gov/mycase/ and click on "Apply for Benefits."

For a print application, visit https://medicaid.utah.gov/apply-medicaid.

For a Spanish application, visit https://medicaid.utah.gov/como-y-donde-pedir-la-asistencia-medica.

Mail completed application to:
Department of Workforce Services
PO Box 143245
Salt Lake City, UT 84114-3245

Fax the completed application to:
Department of Workforce Services
Fax: (801) 526-9505
Toll-free Fax: 1-888-522-9505

To apply in person, visit any Department of Workforce Services office. Visit https://jobs.utah.gov/regions/ec.html to find the nearest office.