New implementation date for Skilled Nursing and Personal Care Shift Services & MA & MP.PA.050.1
Jul. 2023Important Notices
We previously communicated in the July Provider Partner Update that effective Aug. 1, 2023, per Pennsylvania DHS, HCPCS T1019 will be discontinued and replaced with the following HCPCS codes and modifiers:
Please be aware that due to an additional and more recent communication from PA DHS, the implementation date was changed to Oct. 1, 2023 (previously communicated in the July PPU as Aug. 1, 2023).
- G0156 with modifier U7 for pediatric aide services by a non-legally responsible relative
- G0156 with modifiers U7/SC for pediatric aide services by a legally responsible relative
- G0156 U7 TT – Services of home health/hospice aide in home health or hospice settings, each 15 minutes (services by a non-legally responsible relative) – extra patient
- G0156 U7 SC TT – Services of home health/hospice aide in home health or hospice settings, each 15 minutes (services by a legally responsible relative) – extra patient
Please be aware that due to an additional and more recent communication from PA DHS, the implementation date was changed to Oct. 1, 2023 (previously communicated in the July PPU as Aug. 1, 2023).
Recent Announcements
UPMC for Kids now provides statewide CHIP coverage
Effective July 1, 2025, comprehensive high-quality health insurance coverage is available to even more children and teens throughout the state. UPMC for Kids, UPMC Health Plan’s Children’s Health Insurance Program (CHIP) plan, has expanded into three additional counties across Pennsylvania to include Montour, Northumberland, and Pike.Jun. 2025Education/Webinars
UPMC for Kids now provides statewide CHIP coverage
Effective July 1, 2025, comprehensive high-quality health insurance coverage is available to even more children and teens throughout the state. UPMC for Kids, UPMC Health Plan’s Children’s Health Insurance Program (CHIP) plan, has expanded into three additional counties across Pennsylvania to include Montour, Northumberland, and Pike.Jun. 2025Education/Webinars
UPMC-GoHealth Urgent Care centers opening
UPMC has formed a joint venture with GoHealth Urgent Care. MedExpress locations in PA and WV and UPMC Urgent Care and Express Care centers are transitioning to UPMC-GoHealth Urgent Care centers.Jun. 2025Important Notices