New requirements for physician extenders

Feb. 2022Important Notices
Effective Jan. 7, 2022, Pennsylvania Department of Human Services (DHS) has changed the PROMISe ID requirements for physician extenders. CRNPs and physician assistants (PAs) are now required to register with PA DHS to render, refer, order or prescribe services for UPMC for You, UPMC Community HealthChoices, and UPMC for Kids members. Once implemented, UPMC Health Plan will follow DHS claim denial guidelines for nonregistered CRNPs and PAs. For further information or to enroll, please visit PA DHS online or call the UPMC Health Plan Provider Services team at 1-866-918-1595.

Recent Announcements

Medicaid provider update: High-cost Medicaid drug billing

Billing requirements for Medicaid-covered drugs
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Five-year revalidation reminder

Five-year revalidation reminder
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Medical device correction: FreeStyle Libre 3 (Abbott – December)

Abbott has announced a medical device correction for certain FreeStyle Libre 3 sensors. These sensors monitor blood glucose levels as part of the FreeStyle Libre system, which includes a sensor, reader, and app. The correction applies only to the sensor. No other Libre products or Abbott biowearables are affected.
Dec. 2025Pharmacy Updates