UnitedHealthcareHigh ImpactAdministrative
Pennsylvania: No copays for Medicaid members starting July 1
Published January 12, 2026Effective July 1, 2025
AI Summary
Starting July 1, 2025, UnitedHealthcare Community Plan of Pennsylvania Medicaid members no longer pay copays for any services, including pharmacy. Billing teams must stop collecting copays at point of care for these members.
Action Required
Immediately: Stop collecting copays from UnitedHealthcare Community Plan of Pennsylvania Medicaid members for all services and pharmacy. Front desk staff must verify member eligibility through UnitedHealthcare Provider Portal before services to confirm Medicaid status. Update billing workflows to exclude copay collection for this specific plan.
Plan Types
Medicaid
States
PA
Specialties
all-specialties