All PlansCoverageHigh impact
IMPORTANT NOTICE: End of COVID-19 PHE
UPMC Health Plan·Provider Announcement
Effective date
May 11, 2023
We identified it
Aug 7, 2026
Summary
The COVID-19 Public Health Emergency (PHE) will end on May 11, 2023, resulting in the expiration of COVID-related benefits and flexibilities. UPMC Health Plan will provide detailed information about which specific benefits expire on that date. Billing teams should prepare for potential changes to coverage, billing rules, and claim submission requirements.
Action Required
By May 11, 2023: Billing team must monitor UPMC Health Plan's Appendix A updates (available at https://www.upmchealthplan.com/providers/medical/announcements-updates/announcements/2023-announcements/03-15-important-notice-end-of-covid-19-phe) for specific details on expiring benefits. Once details are released, update billing software to reflect coverage changes, adjust claim submission rules, and retrain staff on new requirements. Failure to implement changes by the effective date will result in claim denials for affected services. Designate one team member to monitor UPMC communications weekly until final guidance is published.