ACTION REQUIRED!

Highmark Health Options Duals (HMO SNP) Dual Eligible Special Needs Plan (D-SNP) is launching Jan. 1, 2025.
Contracted providers should review the new D-SNP plan provider manual, medical policies, model of care, and member benefits guide prior to launch.
If you have not yet contracted with Highmark to participate in the Highmark Health Options Duals network, reach out to DEDSNPContracting@highmark.com today!
A blonde female nurse practitioner manually adjusts a scale

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: children and adults eligible for Medicaid. 

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.

Provider Training

Stay in compliance with our standards and regulations for in-network providers through ongoing education and professional development.

GET STARTED

Prior Authorization Code Lookup

Find out if prior authorization from Highmark Health Options is required for medical procedures and services.

CHECK CODES

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 GUIDELINES

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.