Policies & Procedures Manual

* Medical policies require prior authorization from our Medical Management department. Submit prior authorizations via Provider OnLine. If you have any questions, contact Medical Management at 1-800-425-7800.

♦ Disclaimer: Policies and procedures designated with a ♦ are pending approval by the Department of Human Services (DHS) and are not currently approved for use for the Medical Assistance product. Please refer to the UPMC Health Plan website frequently for updates on approval.

A

Medical Policies - Prior Authorization*

Pay Policies

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B

Medical Policies - Prior Authorization*

Pay Policies

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D

Medical Policies - Prior Authorization*

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E

Medical Policies - Prior Authorization*

Pay Policies

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F

Pay Policies

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H

Medical Policies - Prior Authorization*

Pay Policies

Pharmacy Policies - Prior Authorization

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I

Medical Policies - Prior Authorization*

Pay Policies

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K

Medical Policies - Prior Authorization*

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L

Medical Policies - Prior Authorization*

Pay Policies

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M

Pay Policies

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N

Medical Policies - Prior Authorization*

Pay Policies

Clinical Resource Management

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O

Medical Policies - Prior Authorization*

Pay Policies

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P

Medical Policies - Prior Authorization*

Pay Policies

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R

Pay Policies

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S

Medical Policies - Prior Authorization*

Pay Policies

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T

Medical Policies - Prior Authorization*

Pay Policies

Clinical Resource Management

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U

Pay Policies

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V

Medical Policies

Pay Policies

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W

Medical Policies - Prior Authorization*

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