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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 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

Mcare has published the Assessment Rating manual for 2019.  The assessment percentage remains at 19%.  

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.

2019 | 2018 | 2017 | 20162015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008

PAYMENT OPTIONS 

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 ra-in-mcare-exec-web@pa.gov 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 numbre 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 hopsitals ("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 Centers List 8-16-18.pdf

  Corporation List 8-16-18.pdf

  Group List 8-16-18.pdf

  Hospital List 8-16-18.pdf

  Nursing Home List 8-16-18.pdf

  Primary Health Center List 8-16-18.pdf

 REQUEST FOR INSURance VERIFICATION-coverage HISTORY 

Request for Insurance Verification-Coverage History Form.pdf

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 

Mcare Form e-216 Remittance Submission 
ra-in-remittance@pa.gov

Mcare Coverage Inquiries
ra-in-mcare-policy-web@pa.gov

Mcare EFT Payment (Electronic Funds Transfer) 
ra-in-mcare-exec-web@pa.gov  

Telephone: (717) 783-3770
Fax:  (717) 705-7342
 
Street Address
1010 N. 7th Street Suite 201                                            
Harrisburg, PA  17102-1400 
 
Post Office Box
PO Box 12030
Harrisburg, PA 17108-2030