Highmark Health announced today that its Board of Directors has appointed Karen Hanlon as chief executive officer and president of Highmark Health, effective Jan. 1, 2027. For more information, click here.

Effective Dec. 1, 2026, there will be updates to the PA Medicaid and Medicare Prior Authorization List (PAL). Please click to visit our Prior Authorization Code Lookup page to view these important updates.

Community Health Workers (CHWs) can now enroll in the Medical Assistance Program to render services to managed care beneficiaries. Click the link above for additional information about this update and billing instructions.

To ensure their D-SNP patients receive SSBCI benefits, providers must attest to the patient's eligibility. This can be done by submitting an attestation form for new Highmark Wholecare D-SNP patients, OR, for existing D-SNP patients, by documenting proper diagnosis codes in the patient's chart for qualifying conditions.