Announcements
| 1/2012 | Walgreens/Take Care Clinics Update You probably already know that effective Jan. 1, 2012, Walgreens pharmacies were no longer participating providers in the UPMC Health Plan network. Regarding the Take Care Clinics located inside of Walgreen's, effective March 1, 2012, they also will no longer be participating providers in our network. Find another convenience care (retail) clinic. |
| 11/2011 | Provider Network Call Initiative The Department of Public Welfare (DPW) is continuing its Provider Network Call Initiative to ensure that consumers are receiving the highest quality of care and that the Managed Care Organizations (MCOs) are providing consumers with accurate information to allow them the ability to make the most informed decisions regarding their healthcare benefits. more... |
| 10/2011 | Pharmacy recall notice Product Recall: Oral contraceptives more... |
| 7/2011 | Pharmacy recall notice Product Recall: Butalbital, acetaminophen, and caffeine 50mg/325mg/40mg tablets and hydrocodone bitartrate and acetaminophen 7.5mg/500mg tablets more... |
| 7/2011 | Pharmacy recall notice Product Recall: Endocet® (oxycodone/acetaminophen) 10 mg/325 mg more... |
| 7/2011 | Pharmacy recall notice Product Recall: RISPERDAL® 3mg tablets and risperidone 2mg tablets more... |
| 7/2011 | Pharmacy recall notice Product Recall: Concentrated sodium chloride injection 23.4%, 30 mL single dose vials more... |
| 6/2011 | Don't let language barriers get in the way of health care Members of UPMC for You have a right to receive information about health care in a way that they can understand it. more... |
| 5/2011 | Pharmacy recall notice Product Recall: Topamax 100mg tablets more... |
| 4/2011 | Pharmacy recall notice Product Recall: Citalopram 10mg tablets and Finasteride 5mg tablets more... |
| 4/2011 | Pharmacy recall notice Product Recall: Dexamethasone Sodium Phosphate Injection, USP, 4 mg/mL, 1 mL Single Dose Vials; 5 mL and 30 mL Multiple Dose Vials more... |
| 4/2011 | Medical Assistance Bulletin 2011 Recommended Childhood and Adolescent Immunization Schedules more... |
| View more announcements | |
 |
Recent issues |
Medical Assessment Form PA 635
DPW is working with the Managed Care and Behavioral Health Managed Care Organizations to let you know that a revised Medical Assessment Form PA 635 will soon be in use. DPW is planning to implement a Work Ready Screening Tool and Medical Assessment and Treatment Plan pilot in Allegheny County. more...
Medicare Non-Coverage Appeal Rights
These forms are for Skilled Nursing Facilities, Comprehensive Outpatient Rehabilitation Facilities, and Home Health Providers. UPMC for Life participating providers may now use the UPMC Health Plan-specific Notice of Medicare Non-Coverage (NOMNC) forms required by CMS.
- Pennsylvania — UPMC for Life
- Pennsylvania — UPMC for Life Specialty Plan
- West Virginia — UPMC for Life
- Ohio — UPMC for Life
Important Message from Medicare
On November 27, 2006, the Centers for Medicare & Medicaid Services (CMS) published a final rule, CMS-4105-F: Notification of Hospital Discharge Appeal Rights. Beginning July 2, 2007, hospitals must deliver a revised version of the Important Message from Medicare to inform Medicare beneficiaries who are hospital inpatients about their hospital discharge appeal rights. This notice is required for every Medicare beneficiary. Beneficiaries who choose to appeal a discharge decision will receive a more detailed notice. The most current versions of these forms are available on the CMS website.
Please continue to visit the CMS website for more information on the above forms, and to print the most current versions of these forms, at http://www.cms.hhs.gov/BNI/12_HospitalDischargeAppealNotices.asp.
Managed Care Organizations' Providers are Required to Register their NPI Numbers with DPW
Managed Care Organizations’ providers are required to register their National Provider Identifier (NPI) numbers with the Department of Public Welfare (DPW). The link below provides instructions for registering NPI numbers with DPW. more...