Insurers and self-insureds have the responsibility to make certain that the applicable Mcare assessment is timely collected, reported and remitted to Mcare on behalf of each participating health care provider and eligible entity it insures. These reports and remittances must be received by Mcare within 60 calendar days of the issuance (inception) of a basic insurance coverage policy.
Mcare will not provide indemnity coverage or a defense for a claim that is made or occurs if a health care provider, eligible professional corporation, eligible professional association or eligible partnership fails to remit all monies due to Mcare prior to that claim being first reported to the health care provider, the primary insurer or Mcare for the basic insurance coverage period that is applicable to the occurrence that is the basis for the claim (40 P.S. §§ 1303.701, et seq.).
Assessment Rating Manual Information
ASSESSMENT RATING UPDATED (November 1, 2017)
Mcare has published the Assessment Rating manual for 2018. The assessment percentage is19%.
Please click on the applicable Assessment year below to access the most current Assessment Manual and e-216 reporting form as periodic edits are made to the documents and the site content.
2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007
Note: Mcare has updated the assessment rates for 2014, 2012, 2011, 2010 and 2009 as part of the implementation of the lawsuit settlement. When submitting coverage for those years, please use the new lower assessment rates available in the updated Form e-216's.
Mcare does not accept cash. Mcare payment options include checks made out to "Mcare" or "Medical Care Availability and Reduction of Error Fund" and an electronic funds transfer (EFT) payment process. The EFT may be an ACH or wire transfer. Using the EFT process instead of mailing a check benefits the primary insurers by ensuring that the payment is not delayed in the mail. It also allows Mcare to process the payment in a more efficient manner. To learn more about how to take advantage of this payment option, please send an email to Mcare’s Fiscal Unit at firstname.lastname@example.org expressing your interest. We will have an Mcare representative call you to explain the program.
Assigned Entity or Group Numbers
For those entities or groups that do not have a unique license number provided by another Commonwealth agency, Mcare has created a unique number to be used when reporting coverage for these entities for statistical purposes. Numbers are assigned by Mcare to identify specific hospitals ("HS"), corporations ("MC"), or groups ("GP"). If a number for an entity or group is not found on our website, please contact our Coverage Unit.
Birth Center Name and Address Book 03-15-18.pdf
Corporation Name and Address Book 03-15-18.pdf
Group Name and Address Book 03-15-18.pdf
Hospital Name and Address Book 03-15-18.pdf
Nursing Home Name and Address Book 03-15-18.pdf
Primary Health Center Name and Address Book 03-15-18.pdf
REQUEST FOR INSUR VERIFICATION/COVG HISTORY
Request for Insurance Verification-Coverage History Form.pdf
HOSPITAL EXPERIENCE MODIFICATION PROGRAM
2018 Hospital Experience Modification FAQs 12-18-17.pdf
For additional information on the Mcare Hospital Experience Modification program, please see the current Mcare Annual Report located under the "Reports and Studies" category found at www.insurance.pa.gov
Coverage contact INFORMATION
Mcare Form e-216 Remittance Submission
Mcare Coverage Inquiries
Mcare EFT Payment (Electronic Funds Transfer)
Telephone: (717) 783-3770
Fax: (717) 705-7342
1010 N. 7th Street Suite 201
Harrisburg, PA 17102-1400
Post Office Box
PO Box 12030
Harrisburg, PA 17108-2030