Welcome to Health Choice Generations Utah HMO SNP Provider Portal!
The Health Choice Generations Provider Portal has been designed with you in mind. Our goal for the site is twofold.
We want to assist you with reducing administrative burdens by streamlining processes and providing a one-stop-“resource shop” saving you time and money.
We want to provide you with the tools you need so you can make the best decisions for your patients.
Included in this site, and accessed through a secure portal, is patient data such as claims history and prior authorizations. In addition, you will find forms, newsletters, the Health Choice Generations Provider Manual, continuing education information and links to other medical and dental information.Provider Portal Login Manual
Problems? Questions? Comments? Suggestions?
Please contact the Provider Portal Coordinator at: firstname.lastname@example.org.
Health Choice Generations Account Holders
In an ongoing effort to improve Health Choice Generations on-line web-based services, we have designed and built a brand new “single sign on” secure Provider Portal that allows access to both our Medicare (Health Choice Generations – HCG) and Medicaid (Health Choice Utah – HCU) lines of business.
Currently registered Health Choice Utah (Medicaid) Account Holders will not need to re-register to use the new system for Health Choice Generations Utah HMO SNP; however, providers that were also account holders on our Medicaid website will need to follow the on screen prompts within the Provider Portal to initially register to view our Medicare information.
We hope that you enjoy the improvements we have made to our on-line services, and invite your comments and feedback.
Members, Providers, or Appointed Representatives
You can request a Pharmacy Coverage Determination or exception online by visiting our Prior Authorization/Pre-Certification Portal | 2023 Provider Directory (Effective 1-25-2023)
Note: Pharmacy prior authorization ONLY. Medical prior authorization requests (including J-code) may be submitted via the Provider Portal.
To See which Medical Services require PA, see Services Requiring Prior Authorization (Effective 1-30-2023)
Health Choice Generations Provider Escalation
Health Choice Generations is committed to ensuring that you have an open line of communication with us at all times. Should you ever feel the need to escalate an issue, your Provider Representative’s supervisor is:
Director of Provider Services