Coverage
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 healthcare provider and the 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
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.
2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015
2014 | 2013 | 2012 | 2011 |2010 | 2009
Mcare e-216 Tools Manual V3.7 (updated 12/19/22)
This manual describes the functions of the enhanced e-216 including the Review & Submit tools.
COVID-19 Coverage Resources
Volunteer-Temporary or Camp Licenses-Telemedicine during COVID-19.pdf
Nonparticipating Transmittal Form e-316CV V1.0.12.xlsm
Form e-316CV is to be used for reporting nonparticipating COVID-19 volunteers to Mcare. Further information can be found on page 24 of the 2022 Assessment Manual.
Payment Methods
Mcare accepts both electronic payments and checks.
Electronic payments are available through an electronic funds transfer (EFT). The EFT payment method is an alternative to the check payment method. EFTs may be either an ACH or Wire transfer. To learn more about the EFT payment method and its requirements, please send an e-mail to Mcare's Fiscal Unit at ra-in-mcare-exec-web@pa.gov. An Mcare representative will contact you to review the EFT process and onboarding instructions.
For a check, please make checks payable to Mcare or Medical Care Availability and Reduction of Error Fund.
When payment is due, Mcare must receive the payment within 60 days of the effective date of coverage. The payment should be submitted on or about the same date the e-216 is e-mailed. Mcare does not accept cash payments.
If you need to mail a physical check to Mcare, please use one of the following addresses:
Street Address
Mcare Division of Coverage
Capitol Associates Building
901 North 7th Street 3rd Floor
Harrisburg, PA 17102
Post Office Box
Mcare Division of Coverage
PO Box 12030
Harrisburg, PA 17108-2030
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 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.
Request for Insurance Verification-Coverage History
Request for Insurance Verification-Coverage History Form
For the best results, do not attempt to complete this form within your web browser. Please right-click the link above and choose "Save link as" to download the form to your computer.
Hospital Experience Modification Program
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
Telephone: (717) 783-3770
Fax: (717) 783-7659
Street Address
Capitol Associates Building
901 North 7th Street 3rd Floor
Harrisburg, PA 17102
Post Office Box
PO Box 12030
Harrisburg, PA 17108-2030