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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
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

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

Action needed
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.