UPMC Health Plan uses Interqual® criteria sets for prior authorizations
May 2024Education/Webinars
UPMC for Life Medicare Advantage credentialed providers may use the UPMC Health Plan Self-Registration Transparency Tool for additional information.
Recent Announcements
Medicaid provider update: High-cost Medicaid drug billing
Billing requirements for Medicaid-covered drugsDec. 2025Important Notices
CME Webinar: The State of Telehealth in 2026
Please join us for a live, CME-accredited webinar on Tuesday, Jan. 27, from noon to 1 p.m. that will share updates on the state of telehealth for 2026.Dec. 2025Education/Webinars
Formulary updates effective Jan. 1, 2026
Review upcoming policy and operational updatesDec. 2025Pharmacy Updates