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MedicaidAdministrativeMedium impact

UPMC for You has been awarded a Medicaid Managed Care Contract for all five Physical HealthChoices zones across the Commonwealth of Pennsylvania

UPMC Health Plan·PA·Education
Effective date
Sep 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

UPMC for You has been awarded a Medicaid Managed Care Contract covering all five Physical HealthChoices zones across Pennsylvania, with implementation planned for September 1, 2022. This expands UPMC's Medicaid managed care coverage statewide in Pennsylvania.

Action Required

Action needed
Before September 1, 2022: Billing team should complete the comprehensive online training available through UPMC for You and review the FAQ at upmchp.us/ProviderFAQ to understand any billing or administrative changes related to the expanded Medicaid managed care contract. Monitor communications from Pennsylvania Department of Human Services for any implementation date changes.