Important Notice Regarding Prior Authorizations for MP.PA.147

UPMC Health Plan previously communicated that prior authorizations would be required under policy Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older – MP.PA.147 effective June 1, 2025. However, the prior authorization requirement will be paused until Sept. 1, 2025.

Authorizations that have already been submitted will be entered without a review. Patient care should not be delayed or interrupted.

The provider is responsible for clinical decisions and billing. An authorization is not a guarantee of payment for services rendered.