Updates to Utilization Management (UM) phone line hours
Apr. 2024Important Notices
Effective Sunday, May 5, 2024, the UPMC Health Plan UM department staff and UM phone lines will no longer be available on Sundays. The UM department will be operating during the business days of Monday through Saturday from 8 a.m. to 4:30 p.m.
UPMC Health Plan’s secure websitel, Provider OnLine, will remain open for all level of care authorizations and notifications.
UM cases will be processed per line of business and level of care timeliness requirements, as outlined in UPMC Health Plan's Provider Handbook and Policies.
Recent Announcements
CME Webinar Series: Introducing Physicians and their teams to Value-Based Health Care
Please join us for a new CME-accredited webinar series on value-based care. This series is designed to introduce practicing physicians and their teams to value-based health care. Over the course of six sessions, we will define the components of value and identify the tools necessary to deliver high-value care for a population.Feb. 2026Education/Webinars
Bridging Smiles and Systems: Collaborative Care for Children with Chronic Conditions
Please join us for a live, CME-accredited and CEU-accredited webinar on May 13 from noon to 1p.m., that will explore the critical connection between oral health and pediatric chronic conditions such as diabetes, asthma, congenital heart disease, and ADHD.Feb. 2026Education/Webinars
February 2026 UPMC for You and UPMC Community HealthChoices formulary update
Pulmicort Flexhaler has a new distributor, Rubicon Holding. National Drug Codes (NDCs) for Pulmicort Flexhaler from Rubicon Holding are not included in the Medicaid Drug Rebate program and are not covered under the Medicaid Prescription Drug Program. Pulmicort Flexhaler NDCs from the previous manufacturer, H2 Pharma, have been discontinued but may be billed/dispensed until supplies are exhausted.Feb. 2026Pharmacy Updates