Upmc Health Plan Manual 2023

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Provider Manual For Health Care Providers UPMC Health Plan

(7 days ago) WebThis manual for physicians, hospitals, and health care practitioners provides guidance on UPMC Health Plan operational and medical management practices. Behavioral …

https://www.upmchealthplan.com/providers/medical/resources/manuals/provider-manual.aspx

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UPMC Health Plan Behavioral Health Services

(1 days ago) WebTo obtain a copy of the Interqual Behavioral Health and Substance Use Disorders Medical Necessity Criteria, currently being utilized by UPMC Health Plan BHS for adults, …

https://www.upmchealthplan.com/docs/providers/2023_ProviderManual_L.pdf

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UPMC for Life Complete Care (HMO D-SNP) - UPMC Health Plan

(1 days ago) WebProviders may verify Member information through Provider OnLine at upmchealthplan.com, or they may call UPMC Health Plan’s Interactive Voice …

https://www.upmchealthplan.com/docs/providers/2023_ProviderManual_M.pdf

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UPMC Community HealthChoices (Medical Assistance)

(1 days ago) WebSee: Covered Benefits, UPMC Health Plan Provider Manual, Chapter N, UPMC Community HealthChoices (Medical Assistance). • Physical health (medical) providers must be in …

https://www.upmchealthplan.com/docs/providers/2023_ProviderManual_N.pdf

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Documents & Resources for Members UPMC Community …

(2 days ago) WebContact Us. UPMC CHC Participants 1-844-833-0523 TTY: 711 Hours: 24 hours a day, seven days a week. UPMC CHC Prospective Participants 1-844-833-0523 TTY: 711

https://chc.upmchealthplan.com/en/members/documents-resources/

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UPMC Health Plan Enrollment Guide - Allegheny County

(2 days ago) Web8 UPMC Health Plan 2023-2024 UPMC Health Plan 2023-2024 9 Pharmacy benefits PHARMACY BENEFITS Pharmacy coverage is an important part of a health plan. …

https://www.alleghenycounty.us/files/assets/county/v/2/government/employment/documents/benefits/upmc-benefits-brochure.pdf

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Guidance for UPMC Community HealthChoices Personal …

(4 days ago) WebSee the UPMC Health Plan Provider Manual, UPMC Community HealthChoices (Medical Assistance) – Chapter N, for further guidance on EVV. The minimum threshold for use of …

https://www.paproviders.org/wp-content/uploads/2023/03/UPMC-Updated-EVV-Guidance.pdf

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How to be prepared for Open Enrollment UPMC MyHealth Matters

(2 days ago) WebOpen Enrollment for individuals and families runs from Nov. 1, 2023, through Jan. 15, 2024. These are other important dates you should keep in mind: Jan. 1, 2024: If you want your …

https://www.upmcmyhealthmatters.com/open-enrollment/

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Member Resources UPMC for You

(5 days ago) WebIf you have questions about your benefits, call the UPMC for You Health Care Concierge team at 1-800-286-4242 (TTY 711). Representatives are available Monday, Tuesday, …

https://medicaid.upmchealthplan.com/for-members/member-resources/

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UPMC for Life - Connecture

(6 days ago) WebJan. 1, 2023 – Dec. 31, 2023 . This booklet does not list every service that we cover or list every limitation or exclusion. To get a complete list of services we cover, you can review …

https://contentserver.destinationrx.com/ContentServer/DRxProductContent/PDFs/160_0/2023_MCPPO011009SB_22MCID0199.pdf

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Summary Guide to Benefits - University of Pittsburgh

(4 days ago) WebJuly 1, 2023 - June 30, 2024. 2 3 Summary Guide to Benefits July 1, 2023 - June 30, 2024 Table of Contents No coverage provided outside the UPMC Health Plan network, …

https://www.hr.pitt.edu/sites/default/files/2023-24_BenefitsSummaryGuide_SMALL_0.pdf

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2023 Annual Mandatory Education: Comprehensive Course List

(3 days ago) WebSystemwide Clinical Mandatory Education. The following course topics are planned for 2023. Courses assignments will vary depending on the target audience. Advanced …

https://mygkcprd.upmc.com/GKProdContent/1_AM_2023_toolkit/Course_List.pdf

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Medicaid and Medical Assistance Plans UPMC for You

(6 days ago) WebOn April 1, 2023, Pennsylvania ended continuous coverage for Medicaid recipients. Medicaid is also known as Medical Assistance or MA in Pennsylvania. The continuous …

https://medicaid.upmchealthplan.com/

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Summary of Benefits and Coverage: What this Plan Covers

(8 days ago) WebSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2023-12/31/2023 Gold PPO - Premium Network: …

https://mybenefits.wageworks.com/media/docs/CXWW/106108/2023_UPMC_Gold_SBC.pdf

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CHC-Publications - Department of Human Services

(6 days ago) Web2023 Statewide Medicaid Managed Care Annual Report. CHC-MCO Technical Report for Pennsylvania Health and Wellness (PHW) January-December 2023. January-December …

https://www.dhs.pa.gov/HealthChoices/HC-Services/Pages/CHC-Publications.aspx

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Provider Directory Find Care UPMC Health Plan

(1 days ago) WebFind care with UPMC Health Plan's Provider Directory. Browse doctors by specialty, procedure, service, or equipment to find the best fit for you!

https://findcare.upmchealthplan.com/ProviderDirectoryApp/find

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Systemwide Annual Mandatory Training for UPMC Physicians …

(7 days ago) WebBrian Bachowski — Director, Systemwide Regulatory and Accreditation Services Rebecca Glista- MSN, CCRNK, CIC — Senior Infection Preventionist, Wolff Center at UPMC; …

https://cce.upmc.com/content/systemwide-annual-mandatory-training-upmc-physicians-cme-and-advanced-practice-providers

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