MedicaidAdministrativeMedium impact
UPMC for You is expanding across Pennsylvania in September!
UPMC Health Plan·PA·Provider Announcement
Effective date
Sep 1, 2022
We identified it
Jun 20, 2026
Summary
UPMC for You is expanding its Medicaid Managed Care coverage to all five HealthChoices zones across Pennsylvania effective September 1, 2022. Medicaid patients in the Northeast and Southeast zones will receive notification letters from PA-DHS after June 22, 2022, and providers should expect a toolkit with patient benefits information and office materials.
Action Required
By September 1, 2022: Billing team should review the provider toolkit when it arrives to understand value-added benefits for UPMC for You Medicaid patients. Update patient insurance verification processes to recognize UPMC for You coverage in Northeast and Southeast Pennsylvania zones. Display provided materials in office for patient awareness.