MedicaidAdministrativeMedium impact
Medicaid implementation/Member enrollment reminder
UPMC Health Plan·PA·Provider Announcement
We identified it
Aug 7, 2026
Summary
UPMC Health Plan is clarifying that Pennsylvania Medicaid enrollment and eligibility questions must be directed to the Pennsylvania Department of Human Services (DHS), not to UPMC Provider Services. Providers should redirect patient inquiries about PA Medicaid enrollment or MCO plan changes to DHS using the provided contact resources.
Action Required
Immediately: Front desk and patient service staff must update call routing and patient communication procedures to direct all PA Medicaid enrollment and eligibility questions to Pennsylvania DHS at 1-800-440-3989 (or TTY: 1-800-618-4225, Monday–Friday, 8 a.m. – 6 p.m.). Update phone trees, hold messages, and patient intake forms to reference the Pennsylvania enrollment site and DHS toll-free number. This prevents UPMC Provider Services from receiving out-of-scope inquiries and ensures patients receive accurate information from the authoritative source.