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Coverage 

EFFECTIVE MARCH 7TH: Mcare is moving its physical office in Harrisburg

The new address is:

Mcare
Capitol Associates Building
901 North 7th Street 3rd Floor
Harrisburg, PA 17102  

Please update your records accordingly.

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 2022.  The assessment percentage for 2022 is 12%.  

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.

2022 2021 | 2020 | 2019 | 2018 | 2017 2016 | 2015 

2014 | 2013 | 2012 | 2011 |2010 | 2009 

Mcare e-216 Tools Manual

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 V1.0.7.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 check 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.

Birth Centers List 2-09-22

Corporation List 2-09-22

Group List 2-09-22

Hospital List 2-09-22

Nursing Home List 2-09-22

Primary Health Center List 2-09-22

REQUEST FOR INSURance VERIFICATION-coverage HISTORY 

Request for Insurance Verification-Coverage History Form.pdf
For the best results, do not attemp 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 

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) 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