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  2. Provider Resource Center

ACTION REQUIRED!

Effective Oct. 1, 2024, compliance with the 21st Century Cures Act is mandatory. Register your NPI(s), taxonomies, and service location(s) with the Delaware Medical Assistance Portal (DMAP). Failure to enroll with DMAP will result in denied claims. For guidance on correcting denied claims due to noncompliance, refer to this tip sheet.
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Giving the best care. Together.

Highmark Health Options, Highmark Health Options Duals (HMO SNP), and our network of providers give work together to give high-quality health care to those who need it most: children and adults eligible for Medicaid and Medicare D-SNP coverage. 

For busy clinicians, having access to the right tools and resources are important to help you and your staff streamline day-to-day tasks. The Provider Resource Center is where you can find tools and resources to help make your experience with Highmark successful.

Medicaid Provider Manual

Get answers to questions about Medicaid. Refer to your Provider Manual for details.

REVIEW NOW

Medicare D-SNP Provider Manual

Find out what's required for the D-SNP plan. Review the D-SNP Provided Manual. 

REVIEW NOW

Training and Education

Stay in compliance with Medicaid and D-SNP standards and regulations for in-network providers. 

GET TRAINING

We’re here to help.

Have questions? Call Provider Services, Monday through Friday, 8 a.m. – 5 p.m., or contact your Provider Account Liaison.
Contact Provider Services
Highmark Health Options (Medicaid): 1-844-325-6251
Highmark Health Options Duals (Medicare D-SNP): 1-855-401-8251