Important Notice Regarding Prior Authorizations for MP.PA.147
Jul. 2025Important Notices
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.
Recent Announcements
UPMC Dental Advantage celebrates 15-years of growth
From pilot program to now serving all product linesJan. 2026What's New
Provider Directory Updates and Required Attestation
As you know, UPMC Health Plan requires all providers to verify their provider directory information at least every 90 days (quarterly).Jan. 2026Important Notices
Important: Expedited appeals fax requirement
Please remember that you must adhere to the designated process for submitting expedited appeals to have them processed in a timely manner. Follow these guidelines to help you successfully submit expedited appeals:Jan. 2026Important Notices