New policy: MP.PA.104

Aug. 2023Important Notices
Effective Sept. 15, 2023, UPMC Health Plan will implement a new medical policy: Elective Percutaneous Coronary Intervention (PCI) – MP.PA.104. This is a change from the previously communicated effective date of Sept. 1, 2023, as posted in the August issue of Provider Partner Update. This policy will require prior authorization of PCI services to be considered for reimbursement. View more information on MP.PA.104.

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