Provider Services

DMBA has a new portal for preauthorization requests! Click here for more information.
Changes to DMBA health plans as a result of the end of the COVID-19 public health emergency (PHE), which will occur on May 11, 2023. These changes apply to the Deseret Premier, Deseret Select, Deseret Value, Deseret Protect, and Deseret Choice Hawaii plans. Several temporary benefit changes for COVID-19 related services were made to DMBA health plans and were authorized through the end of the COVID-19 PHE. Effective May 12, 2023, regular plan terms (e.g., benefits, limits, exclusions) will apply for treatment related to COVID-19, such as diagnostic testing, evaluations, and immunizations. In addition, the preauthorization requirement for inpatient hospital admission initiated through the emergency room will resume. Finally, monoclonal antibody treatment for COVID-19 and over-the-counter tests for COVID-19 will no longer be covered by DMBA health plans.
Effective February 1, 2023, coverage of certain contraceptive products will no longer be excluded from coverage by plans administered by DMBA. Please contact Navitus at 833-354-2226 or visit www.navitus.com to determine the formulary status of a specific contraceptive product, or call DMBA at 801-578-5600 or 800-777-3622 for products or services covered by the medical benefit. For more information, click here for employee plans, and click here for student plans.
As of July 1, 2022, DMBA’s pharmacy benefit manager is Navitus Health Solutions instead of Magellan Rx.
2023 Utah and Idaho Physician Fee Schedule Updates are available through the "Fee Schedule" request that is located in the Services menu above
Provider applications will not be accepted through 2023, as we have determined that our current provider panel is sufficient to meet the needs of our members. We'll update this information when we reopen our panel