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Information & Resources

Find all of UPMC Health Plan’s documents, resources, manuals, guidelines, forms, and other information for providers in downloadable formats.


Download our Provider Manual and Policies & Procedures Manual here.

Download and View Our Manuals


Find all information regarding guidelines in downloadable formats including our Clinical Practice Guidelines, Quality Assurance, and EPSDT Clinical & Operational Guidelines.

Find Information About Our Guidelines


Access downloadable forms including those for Medical Prior Authorization and Pharmacy Prior Authorization.

View Forms

Other Information

Find all other provider information here including Pharmacy Resources, Patient Health, and the Quality Partners incentive program.

Find All Other Provider Information

Provider Telehealth Guidelines and Toolkit

Telehealth services may be reimbursed by participating providers when they follow UPMC Health Plan policies. Read our provider telehealth guidelines for details.

View our Provider Telehealth Guidelines