Featured Announcements
ACA Risk Adjustment Claims Submission Announcement
Notice: Submit your claims for ACA membersJan. 2026Important Notices
Recent Announcements
UPMC Dental Advantage celebrates 15-years of growth
From pilot program to now serving all product linesJan. 2026What's New
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).Jan. 2026Important Notices
Important: Expedited appeals fax requirement
Please remember that you must adhere to the designated process for submitting expedited appeals to have them processed in a timely manner. Follow these guidelines to help you successfully submit expedited appeals:Jan. 2026Important Notices
The CAHPS survey is coming soon
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey will be conducted from March through May. This survey gathers feedback from patients about their care experiences and is distributed across all lines of business. The results play a critical role in shaping quality ratings, reimbursement, and patient confidence in their care.Jan. 2026Important Notices
Register for the Oral Health in Your Pediatric Office CME - accredited webinar
Please join us for a live, CME-accredited webinar on Wednesday, March 11 from noon to 1 p.m. that will provide an overview of oral health in your pediatric office. Providers with a(n) MD/DO, PA, CRNP, RN, or LPN may also apply for topical fluoride certification after completion of this course.Jan. 2026Education/Webinars
CME Webinar: Compassionate Care for the Fasting Patient During Ramadan
Please join us for a live, CME-accredited webinar on Tuesday, Feb. 3, that will educate clinicians on providing compassionate and culturally sensitive care to fasting patients during Ramadan.Jan. 2026Education/Webinars
Medicaid provider update: High-cost Medicaid drug billing
Billing requirements for Medicaid-covered drugsDec. 2025Important Notices
Medical device correction: FreeStyle Libre 3 (Abbott – December)
Abbott has announced a medical device correction for certain FreeStyle Libre 3 sensors. These sensors monitor blood glucose levels as part of the FreeStyle Libre system, which includes a sensor, reader, and app. The correction applies only to the sensor. No other Libre products or Abbott biowearables are affected.Dec. 2025Pharmacy Updates
CME Webinar: The State of Telehealth in 2026
Please join us for a live, CME-accredited webinar on Tuesday, Jan. 27, from noon to 1 p.m. that will share updates on the state of telehealth for 2026.Dec. 2025Education/Webinars
Formulary updates effective Jan. 1, 2026
Review upcoming policy and operational updatesDec. 2025Pharmacy Updates