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Find all of UPMC Health Plan’s documents, resources, manuals, guidelines, forms, and other information for providers in downloadable formats.
Download our Provider Manual and Policies & Procedures Manual here.
Find all information regarding guidelines in downloadable formats including our Clinical Practice Guidelines, Quality Assurance, and EPSDT Clinical & Operational Guidelines.
Access downloadable forms including those for Medical Prior Authorization and Pharmacy Prior Authorization.
Find all other provider information here including Pharmacy Resources, Patient Health, and the Quality Partners incentive program.
Telehealth services may be reimbursed by participating providers when they follow UPMC Health Plan policies. Read our provider telehealth guidelines for details.