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Medicaid Autism Waiver Program Open Enrollment May 4, 2014

The Department of Health is planning an open enrollment period for the Medicaid Autism Waiver Program. The Department will be accepting applications to fill approximately 35 openings. From May 4, 2014 to May 18, 2014, interested families can apply online at or by mail or fax. (Printable copies of the application will be made available on the website). We are hoping you will again assist us in spreading this update throughout your network(s). Feel free to disseminate the attached documents to reach all of your contacts who may be interested in the open enrollment period.

Please remind interested individuals that children currently enrolled in traditional Medicaid will not be automatically eligible for the program and will need to apply. Children currently participating in the Medicaid Autism Waiver Program will not need to reapply.

At the conclusion of the open enrollment period, if more than 35 applications are received, random selections will be made based upon geographical area, with openings allocated according to population figures from the 2010 Census. The Department of Health will be making contact with those selected during the week of May 26th. Individuals are not selected on a "first come, first served" basis, so please encourage anyone who may be able to benefit from the program to apply at any time during the open enrollment period.

In order to be eligible for the program, additional medical documents will be requested to confirm the presence of an Autism Spectrum Disorder diagnosis. For examples of the types of documented observations that will be required, please refer to the website.

Thank you again for all of your assistance and support.


Josip Ambrenac
HCBS Waiver Administration Manager
Utah Department of Health

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