Mental Health Service Providers
Payment Information
- If the victim has no insurance or other collateral source for payment, UOVC shall pay UOVC’s allowable amounts for the type of mental health service provided
- If the victim has insurance or other collateral source for payment, UOVC shall pay the portion of the eligible bills that the victim is obligated to pay according to the insurance agreement up to UOVC’s allowable amounts for the type of mental health service provided
- Payment made by UOVC on behalf of a victim, when accepted by the provider, is considered payment in full
- UOVC has no timely filing deadline
UOVC Allowable Amounts and Documentation Required for Mental Health Services
- Review the table here
How to Submit Billings for Payment Review
- Submit required documentation, along with the CMS-1500 or UB billing form and the insurance Explanation of Benefits, if applicable
- If the provider has never been paid by the state of Utah, please submit a W-9 form
How to Submit Documents
FAX: (801)533-4127
Email: crimevictims@utah.gov
Mail: Utah Office for Victims of Crime
350 E. 500 S. Suite 200
Salt Lake City, UT 84111
For additional questions
Contact the UOVC Provider Liaison
Amy Armstrong
(801)238-2377
aarmstrong@utah.gov