Medicaid implementation/Member enrollment reminder

Sep. 2022Important Notices
Please be aware that questions regarding PA Medicaid enrollment and eligibility are addressed by the Pennsylvania Department of Human Services (DHS) and cannot be answered directly by UPMC Health Plan Provider Services.

If you are a provider receiving patient inquiries regarding Medicaid plan enrollment or MCO plan changes, please direct these Medicaid-covered individuals to the following resources:
  • Pennsylvania enrollment site
  • Toll-free number: 1-800-440-3989
    TTY: 1-800-618-4225
    Hours of operation: Monday – Friday, 8 a.m. – 6 p.m.

Recent Announcements

August 2026 UPMC for You and UPMC Community HealthChoices Formulary Updates

Effective Aug. 15, 2026, UPMC for You and UPMC Community HealthChoices are updating their formularies.
Jul. 2026Pharmacy Updates

Give feedback on your experience with UPMC Health Plan

You may be invited to participate in a 2026 Press Ganey provider satisfaction survey, which will begin next month. This survey will be given to a random sampling of in-network primary care providers.
Jul. 2026Important Notices

Prescription for Wellness - Leveraging Insurance Carrier Resources to Optimize Patient Engagement Outcomes!

Prescription for Wellness is a nationally recognized, Six Sigma-developed best practice system that provides a convenient and effective way for providers to prescribe resources and support offered by UPMC Health Plan to their patients who are UPMC Health Plan members.
Jul. 2026Education/Webinars