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

Important updates on influenza prevention and treatment

As we continue to navigate flu season, we want to emphasize three critical areas to ensure the health and safety of your patients who are UPMC Health Plan members: Consider antiviral therapy when appropriate, encourage masking to prevent the spread of respiratory viruses, and continue to recommend the flu vaccine.
Feb. 2025Important Notices

Provider OnLine Enhancements

Provider OnLine will soon be launching enhancements to the authorization process.
Feb. 2025Important Notices

CME Webinar: Asthma Clinical Guideline Updates

Please join us for a live, CME-accredited webinar on Wednesday, April 30, that will provide an overview of asthma clinical guideline updates.
Feb. 2025Education/Webinars