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 2020.  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.

2021| 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 

Mcare e-216 Tools Manual V3.4.pdf

This manual describes the functions of the enhanced e-216 including the Review & Submit tools.

Nonparticipating Transmittal Form e-316 V1.0.4.xlsm

COVID-19 COVERAGE RESOURCES

Volunteer-Temporary or Camp Licenses-Telemedicine during COVID-19.pdf

COVID-19 Nonparticipating Transmittal Form e-316CV V1.0.0.xlsm

Form e-316CV is to be used for reporting nonparticipating COVID-19 volunteers to Mcare.  Further information can be found on page 23 of the 2021 Assessment Manual.

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 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 Center List 10-01-20

Corporation List 10-01-20

Group List 10-01-20

Hospital List 10-01-20

Nursing Home List 10-01-20

Primary Health Center List 10-01-20

REQUEST FOR INSURance VERIFICATION-coverage HISTORY 

Request for Insurance Verification-Coverage History Form

HOSPITAL EXPERIENCE MODIFICATION PROGRAM

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