Novillus important dates and times

Dec. 2022Important Notices
Late December: The Partners Program Gaps in Care (CGMA) system will be updated. You will see membership through Dec. 15.

Dec. 31: You will be able to submit 2022 care gap and service event information to the CGMA until 11:59 p.m. EST.

Jan. 15: You will be able to submit reopened or rejected 2022 care gap and service event information to the CGMA until 11:59 p.m. EST. Service dates in 2023 will not be accepted at this time.

Jan. 16–March 5: The CGMA will be temporarily closed to prepare for the launch of the 2023 CGMA. You will not have access to the application during that time.

March 6: The 2023 CGMA—including 2023 care gaps and member rosters—will be available at 8 a.m. EST.

The delay in the system launch will allow claims received through January to be processed in February. The system will be updated to reflect 2023 gaps and new membership through Jan. 31, 2023.

Recent Announcements

PA DOH Antibiotic Stewardship Resources

Order antibiotic stewardship resources at no cost
Jun. 2026Important Notices

Medical device correction: Omnipod (Insulet – May 2026)

Insulet Corporation Inc. has announced a medical device correction for certain Omnipod Pods. These pods are wearable devices that are used to deliver insulin.
Jun. 2026Pharmacy Updates

Clinical documentation required for medical policy prior authorizations

As you know, UPMC Health Plan requires certain clinical documentation/notes in support of a request for prior authorization for the listed procedures below in accordance with its established policies and procedures, in addition to CMS requirements that medical record documentation must support the medical necessity of the services requested.
Jun. 2026Important Notices