Highmark Provider Manual Changes

Below is a timeline of changes made to the Highmark Provider Manual. They are organized by date the changes were implemented, with the most recent changes at the top of the page.

Always refer to the entire Highmark Provider Manual for complete guidance on policies and procedures for all providers participating in Highmark’s networks.

May 24, 2023

The section on High-Risk Maternity - NY Only of Chapter 5, Unit 1 (Care Management Overview) was updated to include additional guidance under Interventions for High-Risk Patients. The following language was added: "After a total of no more than two (2) missed prenatal or one post-partum visit by the member, providers can call for Case Management assistance to request active member outreach at 877-878-8785 Monday through Friday 8 a.m. to 5 p.m. EST."


May 23, 2023

The new Highmark Provider Manual was published on May 23, 2023. 

Last updated on 5/24/2023 2:33:52 PM


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