MedicaidAdministrativeMedium impact
Continuous coverage unwinding
UPMC Health Plan·Provider Announcement
Effective date
Apr 1, 2023
We identified it
Jun 20, 2026
Summary
UPMC health plans have begun the Medicaid continuous coverage unwinding process as of April 1, which may result in coverage changes or terminations for Medicaid patients. Healthcare practices need to help educate patients about the renewal process and guide them through verification requirements to maintain coverage.
Action Required
Immediately: Front desk and billing staff must educate Medicaid patients about the renewal process and remind them to watch for mail from DHS. Order patient education materials (postcards) through MarketingExpress via Provider OnLine for UPMC for You and UPMC Community HealthChoices participants. Staff should guide patients who missed verification deadlines or received termination letters. Contact Provider Services at 1-866-918-1595 for questions.