Highmark Health Options provides you and your family with high quality health care coverage and access to the doctors and hospitals you need. Individuals who qualify for Long-Term Services and Support (LTSS) must now select a managed care plan and Highmark Health Options provides the high quality health care you need. Highmark Health Options and the Long-Term Care (DSHP Plus) offer:
If you are looking for a participating specialty provider or facility, please visit our Highmark Health Options Provider Directory http://healthoptions.prismisp.com/.
Home and Community Based Services (HCBS) Providers
Please use the HCBS LTSS directory link below to find Highmark Health Options Providers that offer long-term services and supports in your home. Use the Table of Contents to find the county in which you live, and then look for the specialty services needed. Specialties are sorted alphabetically.
Check the Member Handbook below to know more about the benefits Highmark Health Options for the elderly and people with physical disabilities.
Type of Care
Covered
Adult Day Care
Covered — Prior Authorization Required
Cognitive Services
Community-Based Residential Alternatives
Minor Home Modifications
Covered — Prior Authorization Required. Limited.
Nursing Facility
Personal Care Attendant/Care Services
Covered - Prior Authorization if over $500
Personal Emergency Response System (PERS)
Learn more about your Rights and Responsibilities.