Join Our Network

NEW! Search CPT Codes in the Main Search Bar: To check prior authorization requirements, please use the Search Bar at the very top of the page. It's always available, so you can check codes from anywhere on the site!

Join Our Network

Last Updated: Tuesday, October 11, 2022

Thanks for your interest in becoming a Highmark Wholecare network provider.  Your request will be reviewed and you will be contacted by phone and/or email within the next 12 business days.

Before completing the application please review the below FAQs.

Required Key Information – Review prior to completing Application.

Key Information

Behavioral Health/Substance Abuse, Dental & Vision Care Providers

Behavioral Health, Substance Abuse, Dental and Vision

Provider Add and Change Forms

Cultural Competency
Cultural Competency Data Form

Additional Resources:


Join Our Network Application

Are you currently participating with Highmark Wholecare?:
Which Line(s)-of-Business are you interested in applying for?
Do you currently accept PA Medicaid?

Per our HealthChoices, Must be enrolled in the PA MA program and possess an active MMIS Provider ID.

Do you currently accept Medicare?
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District Of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
  • Acupuncture/Massage Therapy
  • Behavioral Health Services
  • Dialysis
  • Durable Medical Equipment (DME)
  • Home and Community-Based Services (HCBS)
  • Home Health Services
  • Hospital
  • Laboratory
  • Long-Term Services and Supports (LTSS)
  • Occupational/Physical Therapy
  • OB/GYN
  • PCP (Primary Care Practitioner)
  • Rehabilitation Therapy
  • Specialist (except OB/GYN)
  • Speech Therapy
  • Other
Do you treat pediatric patients?
Are you Board Certified?
Is your practice a Federally Qualified Heath Center (FQHC) or Rural Health Clinic (RHC)?