2026 Highmark Wholecare Practitioner Excellence Program

We value the important role practitioners play in serving our members and welcome to the Highmark Wholecare Practitioner Excellence (HWPE) Program, which launched on March 2, 2026. The program supports Highmark Wholecare’s mission to improve the health and wellness of the individuals and the communities we serve by providing access to integrated, superior healthcare.

2026 HWPE Program Opt-In

Providers must acknowledge that they are opting-in to the core HWPE program, the Maternity Quality Program, or both. Please contact your Clinical Transformation Consultant directly or email us at: HWC_ProviderEngagementTeam@highmark.com for information on the opt-in process.

By opting-in, the provider also acknowledges the intent to participate in the program. Providers will be enrolled in their chosen programs based on provider specialty and eligibility criteria, as outlined in the HWPE Program Guide.

2026 HWPE Overview Webinar Series

The HWPE PE team is offering multiple, hour-long webinars to provide an overview of the 2026 HWPE program. If you missed our March sessions, you still have four more opportunities to join us. Please register following the steps below:

1.    Use the links below for the session(s) you would like to attend and click “Register”:

• Thursday, April 9, 2026 at 12:00 p.m.
• Thursday, April 16, 2026 at 1:00 p.m.
• Tuesday, June 9, 2026 at 11:00 a.m.
• Wednesday, September 2, 2026 at 12:00 p.m.

2.    On the registration form, enter your information and click "Register.” Once the host approves your request, you will receive a confirmation email message with instructions on how to join the event.

If you have questions, feel free to reach out to our Clinical Transformation Consultant directly team directly. Please note our new email address: HWC_ProviderEngagementTeam@highmark.com.

2026 Highmark Wholecare Care Gap Management Application & Provider Reporting Launch

The Care Gap Management Application, launching April 1, 2026, supports Highmark Wholecare’s mission to improve the health and wellness of the individuals and the communities we serve by offering providers access to important care gap information. 

The CGMA has been designed to help providers by simplifying the flow of members’ care gap information between you and us. With this powerful, yet easy-to-use web application, you will be able to:

• View member care gaps
• Submit evidence for care gap closure
• View your progress towards closing member care gaps
• View your Highmark Wholecare Health member roster
• View your HWPE Performance and Opportunity Reporting
• Bulk Evidence Submissions for a Member
• Bulk Generation of Member Level Gap PDF Reports
• Multi-Provider Gap Report Generation
• Measure Due Date Enhancement - Due date now available for applicable measures (e.g., W30, OMW).
• Measure Badge – Badge added to measures with a due date based on an event. Remaining days to take action are displayed on the measure banner.