Table XVII Targeted Adult Medicaid (TAM) Agencies

Updated:   November 1, 2018

The following agencies may complete the TAM referral forms (42A, 43A and 44A) for a TAM coverage group.  This list is not all inclusive.  If a form is completed by an agency who is not listed below, please contact a DWS Medical Program Specialist for further guidance.

 

Chronically Homeless

Form 42A

7th Street Treatment

All questions

Bear River Mental Health

All questions

Central Utah Counseling

All questions

Clinical Consultants

All questions

Community Connection Center

All questions

Davis Behavioral Health

All questions

Division of Child and Family Services (DCFS)

All questions

First Step House - SLC

All questions

Four Corners Community Behavioral Health

All questions

Fourth Street Clinic – SLC

All questions

Grace Mary Manor - SLC

All questions

Haven

All questions

Horizon House - Cedar City

All questions

House of Hope

All questions

Housing Authority of Salt Lake City (HASCL)

All questions

Housing Authority of the County of Salt Lake

All questions

INN-Between

All questions

Iron County Care and Share

All questions

Lantern House (St. Anne’s) - Ogden

All questions

Midtown Community Health Center – Ogden

All questions

Mountainlands Community Health Center/Mountainlands Family Health Center

All questions

Northeastern Counseling Center

All questions

Odyssey House - SLC

All questions

Optum Salt Lake County

All questions

Palmer Court - SLC

All questions

Papilion Intergrated Recovery Center

All questions

Rescue Mission – SLC and Ogden

All questions

Road Home - SLC

All questions

Urban Indian Center - SLC

All questions

Utah County Dept. of Drug and Alcohol Prevention and Treatment

All questions

SAIL

All questions

Salt Lake County Division of Behavioral Health

All questions

Salt Lake Legal Defender Association

All questions

San Juan Counseling Services

All questions

Southwest Behavioral Health Center

All questions

Switch Point - St. George

All questions

Turning Point - Vernal

Questions 1, 2 and 4

Wasatch Mental Health

All questions

Weber Human Services

All questions

Valley Behavioral Health

All questions

Volunteers of America (VOA)

All questions

Weber Housing Authority

All questions

YWCA - SLC

All questions

 

Justice Involved

Form 43A

Adult Parole and Probation (AP&P) 

All questions

Bear River Health Department

All questions

Bear River Mental Health

All questions

Central Utah Counseling

All questions

Clinical Consultants

All questions

Community Connection Center

All questions

Courts - Any federal, state, county or tribal Mental Health/Drug court throughout the state.  County defenders office.

Question 2

Davis Behavioral Health

All questions

Division of Child and Family Services

All questions

First Step House - SLC

All questions

Four Corners Community Behavioral Health

All questions

Horizon House

Question 2

House of Hope

All questions

Jails – By County: Beaver, Cache, Davis, Garfield, Kane, Millard, SLC, Tooele, Utah, Weber.   Includes county agencies working with the jails.

Question 1

Northeastern Counseling Center

All questions

Odyssey House – SLC

All questions

Optum Salt Lake County

All questions

Psychiatric and Behavioral Solutions (PBS)

All questions

Salt Lake County Division of Behavioral Health All questions
Salt Lake Legal Defender Association All questions
San Juan Counseling Center All questions
Southwest Behavioral Health Center All questions

State Prison - Draper

Question 1

U.S. Probation All questions
Utah County Dept. of Drug and Alcohol Prevention and Treatment All questions
Valley Behavioral Health All questions
Wasatch Mental Health All questions

Weber Human Services

All questions

 

State Hospital

Form 44A

State Hospital - Provo

All questions