Last Updated: Friday, September 06, 2024
The information below is applicable to providers in Delaware, New York, and Pennsylvania. The Gold Card Program in West Virginia is regulated by a state mandate. For information specific to the West Virginia Gold Card Program, please see the Highmark Provider Manual Chapter 5, Unit 2.
According to the March 2023 American Medical Association (AMA) physician survey, patients and clinicians are frustrated by the delays in care due to the current utilization management process. The Gold Carding program provides expedited prior authorization for clinicians who demonstrate adherence to appropriate clinical criteria.
The following is the link to access the March 2023 AMA physician survey:
Eligibility*
*Eligibility criteria can vary in accordance with state mandates.
Enrollment
Management
Gold Carded Clinicians - Our current list of Gold Carded clinicians. Frequently Asked Questions - A list of FAQs about our Gold Carding Program. |
Providers will follow a simplified pre-notification process once they are Gold Carded: