Understanding available resources for substance misuse and addiction

Aug. 2025Important Notices

Information available on the internet can be overwhelming when searching on the topic of substance misuse and addiction. UPMC Health Plan has a dedicated webpage containing information and links to treatment service options, harm reduction services, and other supports. The webpage includes local, state, and national resources to help streamline the search process for members and their families who may be experiencing challenges related to substance misuse and addiction, and for providers who may be looking for information on how to best support their patients.  

The webpage provides links to:

  • Resources on identifying signs of overdose and how to respond to an overdose event.
  • Substance use treatment services and supports, including medication treatment options for alcohol, opioids, and tobacco; inpatient withdrawal management and residential treatment services; outpatient; crisis support; and peer recovery services.
  • State-funded resources for substance misuse and addiction and other social determinants of health for Pennsylvania, Maryland, and New York.
  • Harm reduction services.
  • Crisis information.
  • Support group information for individuals and for families.

Visit upmchealthplan.com/members/condition-support/substance-misuse-and-addiction for more information.


Recent Announcements

The importance of PRD forms for complex patients and staying updated on changes

Personal representative designation (PRD) forms are critical to the care process for patients and providers alike. Not only do PRDs support accurate, efficient, and compliant patient care—they also streamline administrative processes.
Aug. 2025Important Notices

Important announcement: UPMC Health Plan retires MP.PA.147

This communication is in regards to UPMC Health Plan Policy MP.PA.147 – Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older. UPMC Health Plan previously communicated that the prior authorization requirement under this policy would be paused until Sept. 1, 2025. However, policy MP.PA.147 has been retired, and this policy will no longer be implemented or active.
Aug. 2025Important Notices

CMS expands Medicare Advantage RADV audits to all eligible plans

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a substantial expansion of its Risk Adjustment Data Validation (RADV) audit program for Medicare Advantage plans.
Aug. 2025What's New