CMS - Pennsylvania | HealthLuminate

Health Plan Overview

Insurance Company	CMS
State	Pennsylvania
Website	cms.gov
Number of Hospitals in Network	91
Number of Plans Offered	3

Network Hospital Locations

Hospitals in Network (91)

Geisinger Community Medical CenterUPMC McKeesportGeisinger Bloomsburg HospitalPenn State Health Holy Spirit Medical CenterGeisinger Medical CenterUPMC JamesonJames E. Van Zandt VA Medical CenterKensington HospitalTemple Health - Chestnut Hill HospitalTemple University HospitalUPMC MercyUPMC SomersetWashington HealthReading HospitalUPMC WilliamsportGeisinger Lewistown HospitalCoatesville VA Medical CenterPenn Highlands HuntingdonUPMC CarlisleErie VA Medical CenterUPMC HamotUPMC HarrisburgUPMC LititzLebanon VA Medical CenterUPMC AltoonaPenn Highlands DuBoisUPMC NorthwestPenn State Health St. Joseph Medical CenterCorporal Michael J. Crescenz Department of Veterans Affairs Medical CenterLancaster General HospitalUPMC MemorialUPMC St. MargaretUPMC KaneUPMC PassavantChan Soon-Shiong Medical Center at WindberMeadville Medical CenterUPMC Magee-Womens HospitalUPMC Bedford MemorialPottstown HospitalPhoenixville HospitalPittsburgh VA Medical Center-University DriveWilkes-Barre VA Medical CenterPenn Highlands Mon ValleyUPMC GreeneUPMC Presbyterian ShadysideUPMC HorizonChester County HospitalPenn Highlands ConnellsvilleMillcreek Community HospitalDoylestown HospitalSharon Regional Health SystemPenn Presbyterian Medical CenterPennsylvania HospitalSaint Clair HospitalUPMC HanoverPenn State Health Milton S. Hershey Medical CenterMount Nittany Medical CenterGeisinger Wyoming Valley Medical CenterValley Forge Medical Center and HospitalEagleville HospitalEdgewood Surgical HospitalOSS Health Orthopaedic HospitalUPMC EastPenn State Health Hampden Medical CenterGeisinger Medical Center MuncyPenn State Health Lancaster Medical CenterGeisinger Jersey Shore HospitalUPMC MuncyBucktail Medical CenterEndless Mountains Health SystemsPenn Highlands TyroneLECOM Health Corry Memorial HospitalBarnes-Kasson County HospitalPenn Highlands BrookvilleUPMC ColeTitusville Area HospitalPenn Highlands ElkUPMC WellsboroUPMC Children's Hospital of PittsburghChildren's Hospital of PhiladelphiaSt. Christopher's Hospital for ChildrenFriends HospitalMontgomery County Emergency Service, Inc.The Meadows Psychiatric CenterRoxbury Treatment CenterPennsylvania Psychiatric InstituteLancaster Behavioral Health HospitalTower Behavioral HealthMalvern Behavioral HealthBerwick Psychiatric HospitalGeisinger Behavioral Health Center Northeast

Available Plans

Medicare

3 plans

Plan Details

Plan Name	Plan Type
NA	Medicare
NA	Medicare
NA	Medicare

Recent News

2025-06-28

CMS released monthly unwinding data in June 2025, which included April 2025 data showing that Pennsylvania was among the states reporting low ex parte rates for Medicaid renewals.

2025-06-15

The Pennsylvania Office of Rural Health highlighted CMS initiatives discussed at a June 2025 listening session, including efforts to build a dynamic, interoperable national provider directory and bring modern identity verification processes to Medicare.gov.

2025-01-29

CMS granted approval on December 26, 2024, for the remaining components of Pennsylvania's Medicaid waiver demonstration known as “Keystones of Health,” aimed at enhancing health outcomes and reducing costs by addressing health-related social needs.

2024-11-21

Pennsylvania received approval from the Centers for Medicare & Medicaid Services (CMS) in November 2024 to implement continuous Medicaid eligibility for children through age six and one year of continuous coverage for certain individuals returning from a state correctional facility.

2024-08-02

The Pennsylvania Department of Human Services announced in August 2024 that the state would receive an estimated $58 million in federal reimbursement from CMS through the Money Follows the Person (MFP) Program to support Medicaid beneficiaries receiving long-term care services in their communities.

State Leadership

Lee Fleisher

Chief Medical Officer and Director of the CMS Center for Clinical Standards and Quality (CCSQ)

Leonard Davis Institute (LDI) Senior Fellow and Penn Medicine professor at the University of Pennsylvania's Perelman School of Medicine. Former Chair of Anesthesiology and Critical Care at the University of Pennsylvania. Member of the National Academy of Medicine (NAM) since 2007.

Mehmet Oz

Administrator

Serves as the 17th Administrator for the Centers for Medicare & Medicaid Services. Professor Emeritus at NY Presbyterian-Columbia Medical Center. Received undergraduate degree from Harvard University and obtained a joint MD and MBA from the University of Pennsylvania School of Medicine and Wharton Business School. Resides in Pennsylvania.