Compliant Health Navigator Programs Across Utah Communities
GrantID: 77383
Grant Funding Amount Low: $5,000
Deadline: Ongoing
Grant Amount High: $50,000
Summary
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Grant Overview
Utah's community health navigator program operates under Medicaid managed-care rules that differ from surrounding states because of the state's waiver authorizing accountable care organizations with strict attribution and quality-withholding provisions. These rules impose additional compliance layers for data exchange and patient consent.
Compliance Requirements in Utah
Navigators must complete the Utah Department of Health's 24-hour certification course and pass background checks through the Utah Bureau of Criminal Identification before accessing protected health information. Programs serving the Wasatch Front must also comply with Intermountain Healthcare's and SelectHealth's separate electronic referral protocols.
Risk Factors Specific to Utah
The state's 2.4 percent uninsured rate masks coverage gaps among the 11 percent of residents who are foreign-born, many of whom reside in Salt Lake and Weber counties. Navigator documentation must therefore address Utah's unique requirement to record immigration status declarations for certain state-funded services.
State Context and Readiness
Utah's population grew 18.4 percent between 2010 and 2020, with the fastest increases occurring in Utah and Washington counties. Proposals must demonstrate capacity to scale navigator caseloads at this growth rate while maintaining compliance with the Utah Health Information Network's data standards. Unlike Colorado applications, Utah requires submission of an annual compliance attestation signed by legal counsel confirming alignment with both state Medicaid and Indian Health Service rules for the Uintah and Ouray Reservation.
Eligible Regions
Interests
Eligible Requirements
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