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What providers need to know about charging UPMC for Life Complete Care members cost sharing

Mar. 2024Important Notices
The new year has brought important changes to UPMC for Life Complete Care (HMO D-SNP) grace periods. For providers, this affects their ability to charge some UPMC for Life Complete Care members cost sharing. Read this article - Opens in new tab in Provider Partner Update to learn about who providers can charge cost sharing, exceptions to the rule, and more.

Recent Announcements

Certified Community Health Worker (CCHW) Provider Billing Notification

UPMC for You will now reimburse for up to three certified community health worker (CCHW) visits per member per calendar year for Medicaid recipients, per the Pennsylvania Department of Human Services (PA DHS).
Apr. 2026Important Notices

CME Webinar: First Annual Dr. Jim Withers Lecture

Please join us for the First Annual Dr. Jim Withers Lecture, featuring Dr. Jim Withers, a global leader in compassionate, justice-centered care
Apr. 2026Education/Webinars

Provider Directory Updates and Required Attestation

As you know, UPMC Health Plan requires all providers to verify their provider directory information at least every 90 days (quarterly).
Apr. 2026Important Notices

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