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
Certified Community Health Worker (CCHW) Provider Billing Notification
UPMC for You will now reimburse for up to three certified community health worker (CCHW) visits per member per calendar year for Medicaid recipients, per the Pennsylvania Department of Human Services (PA DHS).Apr. 2026Important Notices
CME Webinar: First Annual Dr. Jim Withers Lecture
Please join us for the First Annual Dr. Jim Withers Lecture, featuring Dr. Jim Withers, a global leader in compassionate, justice-centered careApr. 2026Education/Webinars
Provider Directory Updates and Required Attestation
As you know, UPMC Health Plan requires all providers to verify their provider directory information at least every 90 days (quarterly).Apr. 2026Important Notices
