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:
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
Pause in Prior Authorization Policies
On April 1, 2025, we announced that UPMC Health Plan would start requiring prior authorization for certain services. Please note that we are delaying or changing the implementation of prior authorization for some of these services, as described below.May 2025Important Notices
May is Mental Health Awareness Month
“Turn Awareness into Action”Mental Health America founded Mental Health Month in 1949, and since that time, every May has been a time to unite millions of people to promote awareness, provide vital resources, and advocate for everyones mental well-being. 1 in 5 people will experience a mental health condition in any given year¹. Mental health affects us all, and its critical that we move beyond awareness to take meaningful steps for our well-being and that of our community.May 2025Important Notices
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