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Published Date: 2025-03-21

Reportable Conditions

As a friendly reminder, Highmark Wholecare providers must report certain diseases, infections, or conditions as determined by 28 Pa. Code §27.21 et seq. of the Pennsylvania Code, Subchapter B. REPORTING OF DISEASES, INFECTIONS AND CONDITIONS. Highmark Wholecare has established The Reportable Conditions Policy to explain this contractual requirement as well as the methods by which providers will be notified of its necessity.

If you are looking for additional information or to obtain a copy of the Reportable Conditions policy, please contact Highmark Wholecare’s Provider Services Department at either 1-800-685-5209 (Medicare Providers) or 1-800-392-1147 (Medicaid Providers). Additionally, these regulations, which include the complete list of reportable conditions and timeframes for reporting, can be found at the State of Pennsylvania Code website.