Highmark Health Options and the network of providers give work together to give high quality health care to those who need it most: adults and children eligible for Medicaid. These are members enrolled in the Diamond State Health Plan (DSHP), Delaware Healthy Children Program (DHCP), and DSHP Plus Long-term Services and Supports.
For busy clinicians, having access to the right tools and resources are important to help you and your staff streamline day-to-day tasks. Below are several new tools and resources to help make your experience with Highmark Health Options successful. Refer to the Provider Manual for more details about benefits and covered services.
Quick access to all provider processes, contact information, and additional reference material.
Find out if prior authorization from Highmark Health Options is required for medical procedures and services.
Read the latest faxed communications to Highmark Health Options providers.
Stay in compliance with our standards and regulations for in-network providers through ongoing education and professional development.
Find the most current medication information for providers, including prior authorization requirements and formulary.
Use these guidelines to help direct care based on best available evidence-based practices reduce inappropriate variation in practice and provide best care.