Important announcement: UPMC Health Plan retires MP.PA.147

Aug. 2025Important Notices

This communication is in regards to UPMC Health Plan Policy MP.PA.147 – Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older. UPMC Health Plan previously communicated that the prior authorization requirement under this policy would be paused until Sept. 1, 2025. However, policy MP.PA.147 has been retired, and this policy will no longer be implemented or active.

Authorization requests that have already been submitted will be voided as no authorization is needed. Patient care should not be delayed or interrupted.

If you have any questions or concerns, please contact your physician account executive or call Provider Services at 1-866-918-1595.

The provider is responsible for clinical decisions and billing. An authorization is not a guarantee of payment for services rendered. If you no longer wish to receive emails from UPMC Health Plan, please contact your physician account executive or network manager.


Recent Announcements

Medicaid Renewal

Starting in 2027, some Medicaid recipients (ages 19–-64) will have new requirements to keep their coverage.
Aug. 2026Important Notices

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).
Aug. 2026Important Notices

Voluntary nationwide recall: Tyenne (Fresenius – August 2026)

Fresenius Kabi is recalling one lot, lot 16UI07, of Tyenne® (tocilizumab-aazg) Injection 400 mg/20 mL (20 mg/mL) 20 mL vials. Tyenne is used for the treatment of certain arthritis conditions.
Aug. 2026Pharmacy Updates