UPMC for You has been awarded a Medicaid Managed Care Contract for all five Physical HealthChoices zones across the Commonwealth of Pennsylvania

Aug. 2022Important Notices
"UPMC for You has been awarded a Medicaid Managed Care Contract for all five Physical HealthChoices zones across the Commonwealth of Pennsylvania, currently planned to go live1 on Sept. 1, 2022. A comprehensive training is available online for your reference and participation. You can also review a list of frequently asked questions at upmchp.us/ProviderFAQ. Thank you for your continued support of UPMC for You and the great care you provide to our members. We wouldn’t be at more than a half a million members strong and growing without you!

1Go-live implementation dates and communication timelines are subject to change at discretion of the Pennsylvania Department of Human Services."

Recent Announcements

Special notice: Important policy changes

Effective June 1, 2025, UPMC Health Plan will be implementing policy changes that will require providers to obtain prior authorizations for services listed in the following policies. For more information, please visit upmchp.us/policiesandprocedures.
May 2025Important Notices

Provider OnLine Enhancements

Provider OnLine will be launching enhancements to the authorization process on April 18, 2025. The enhancement will include the following updates:
Apr. 2025Important Notices

Fostering Trust in Vaccinations Through Shared Decision Making

Please join us for a live, CME-accredited webinar on Wednesday, June 4, from noon to 1 p.m. that will provide an overview of fostering trust in vaccinations through shared decision making.
Apr. 2025Education/Webinars