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Provider Manual and Newsletters
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Forms and Reference Material
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2024-2025 Anti-Fraud Plan
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2025 FWA Audit Plan - Supplemental Guide
Centers for Medicare and Medicaid Services - Fraud and Abuse
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Clinical Practice Guidelines
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Create Your Highmark Health Options NaviNet Account
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Cultural Competency Data Form
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EPSDT Member Outreach Form
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Gold Card Program FAQs
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GuidingCare User Guide
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HealthHelp: Single Sign-On Capabilities
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Member Outreach Form
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NaviNet and Provider Portal Training Guide
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Notice of Practice/Practitioner Changes Form
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PNC Echo UI Users Guide
Provider Roster Worksheet (xlsx)
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Provider Self-Audits Overpayments Form
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Obstetrical Needs Assessment Form (ONAF)
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Outpatient Behavioral Health Prior Authorization Request Form
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Outpatient Therapy Services Prior Authorization Request Form
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PCP Transfer Form
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Private Duty Nursing (PDN) Prior Authorization Request Form
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Provider Complaint Forms
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Quality of Care/Quality of Service Concern External Reporting Form
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Referral Request for Maternal Opioid Use Disorder (MOUD) Treatment
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Request for Medicaid Drug Exception Form
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SSBCI Attestation Form
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Sterilization Consent Form
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Substance Abuse Prior Authorization Request Form
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SUD 48-Hour Notification of Admission (ASAM) Form