Providers

Giving the Best Care. Together.

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 and medical assistance. These are members of 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 Member Handbook for more details about benefits and covered services.

Forms and Reference Material

Quick access to all provider forms and additional reference material.

SEARCH FORMS

Prior Authorizations

Updated quarterly, this document lists codes and prior authorization requirements for medical procedures and services.

REVIEW THE LIST

Updates and Notices

Read the latest faxed communications to Highmark Health Options providers.

CATCH UP NOW

Clinical Practice Guidelines

Use these guidelines to help direct care based on best available evidence-based practices reduce inappropriate variation in practice and provide best care.

REVIEW THE GUIDELINES

Medication Information

Find the most current medication information for providers, including prior authorization requirements and formulary.

FIND OUT MORE

Community Support

Highmark Health Options Community Support connects those in need with local programs, resources, and support to help members navigate health care choices.

FIND HELP

We’re here to help.

Have questions? Call Provider Services at 1-844-325-6251, Monday through Friday, 8 a.m. – 5 p.m., or contact your Provider Account Liaison.