Highmark Wholecare Practitioner Excellence Incentive Program: Care Gap Management Application is Now Live

Participate in the 2026 Highmark Wholecare Practitioner Excellence (HWPE) Program, where you can access valuable resources like the Care Gap Management Application (CGMA), by opting into tghe program. Additionally, you can register for an upcoming webinar to gain further information.

As a reminder, the Highmark Wholecare Practitioner Excellence (HWPE) Program supports Highmark Wholecare’s mission to improve the health and wellness of the individuals and communities we serve by providing access to integrated, superior healthcare. Providers must opt-in to participate.

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

2026 Highmark Wholecare Care Gap Management Application

The Care Gap Management Application (CGMA) is live as of April 1, 2026. Please contact your Clinical Transformation Consultant (CTC) at HWC_ProviderEngagementTeam@highmark.com if you do not have access, or if you have questions on how best to utilize the CGMA. With the CGMA you can:

• View member care gaps
• Submit evidence for care gap closure
• View your progress towards closing member care gaps
• See your Highmark Wholecare Health member roster
• Review your HWPE performance and opportunity reporting
• Complete bulk evidence submissions for a member
• Generate member-level gap reports in bulk
• Generate multi-provider gap reports
• See due dates for applicable measures (e.g., W30, OMW)
• Use the measure badge to see event-based due dates; remaining to take action are displayed on the measure banner

2026 HWPE Overview Webinar Series

As a reminder, our team will conduct two more webinars detailing our 2026 HWPE program. Use the links below and click “Register” to sign up:  

• Tuesday, June 9, 2026 at 11 a.m
• Wednesday, Sept. 2, 2026 at 12 p.m.

After registering, you will receive a confirmation email with instructions on how to join the event. The live sessions include time for Q & A, so we encourage you to join. You may also view the training presentation as well.  

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