Serving patients across all of Utah

Welcome to the Modivcare Member website for Utah Department of Health members. This site hosts information for eligible Medicaid members to assist with transportation request to non- emergency medical appointments.

The forms on this site are stored in PDF format. Your computer must have Adobe Acrobat Reader installed for you to be able to read and print the forms. If you do not have a copy of Adobe Acrobat, you can download it for free at www.get.adobe.com/reader/.

Have a question or concern about service? Quickly get your message to the right person: Modivcare Member Feedback

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Forms

Please click on the title that corresponds to the document you would like to view.

Member FAQs