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The importance of PRD forms for complex patients and staying updated on changes
UPMC Health Plan·Pediatrics, Family Medicine·Provider Announcement
We identified it
Jun 20, 2026
Summary
UPMC Health Plan emphasizes the critical importance of Personal Representative Designation (PRD) forms for complex patients, especially those with chronic conditions or disabilities. Beginning at age 13, parents/guardians need PRD forms on file to discuss certain health information, and a new form is required after the child turns 18.
Action Required
Immediately: Front desk staff must ensure PRD forms are obtained and updated for all patients age 13+ with complex conditions (chronic conditions, disabilities, frequent hospitalizations). Download current PRD forms from upmchealthplan.com/providers/medical under Medical Prior Authorization section. Verify PRD forms are renewed when patients turn 18. Without proper PRD forms, parents cannot file grievances for delayed or denied services.