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[{"id":258,"versionId":5,"title":"Provider educational webinars reminder","type":4,"subType":null,"childSubType":"","date":"8/14/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003eYou are invited to attend a 2023 Annual Provider Education webinar to learn about Highmark Wholecare\u0026rsquo;s processes and policies around claims, EPSDT, Model of Care, Self-service tools, and more! Our scheduled webinars take place every Wednesday at either 8 am or 12 pm. To reserve your spot, \u003ca href=\"https://wholecare.highmarkprc.com/Provider-Resources/Education-Webinars\"\u003eclick here\u003c/a\u003e\u003c/p\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":259,"versionId":5,"title":"Cultural Competency Data Form reminder","type":4,"subType":null,"childSubType":"","date":"8/14/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003ePlease complete the \u003ca href=\"https://wholecare.highmarkprc.com/Provider-Resources/Cultural-Toolkit\"\u003eCultural Competency Data Form\u003c/a\u003e to help us improve the Highmark Wholecare member experience. Information collected on the form, such as race, ethnicity, language and cultural competency training data, allows us to better connect members to the appropriate practitioners, foster more effective provider-patient communication and improve a patient\u0027s health\u003c/p\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":260,"versionId":5,"title":"Mediciad Redetermination","type":4,"subType":null,"childSubType":"","date":"8/14/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003eThere are members who may still be eligible for Medicaid but are being disenrolled due to failure to renew or provide the required documentation. To assist with identifying affected patients, please view the expanded PCP Medical Assistance (MA) Renewal Report in our provider portal, via NaviNet. Additionally, this\u0026nbsp;\u003ca href=\"https://content.highmarkprc.com/Files/Wholecare/docs/MX2310022_Medicaid_FLY_FS-BS.pdf\"\u003eflyer\u003c/a\u003e can help patients who have been disenrolled from Highmark Wholecare Medicaid coverage.\u003c/p\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":261,"versionId":5,"title":"Model of Care Reminder for Medicare providers","type":4,"subType":null,"childSubType":"","date":"8/14/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003eAs a Special Needs Plan (SNP), Highmark Wholecare is required to administer a Model of Care Plan (MOC) that will allow our Medicare Advantage Organization to provide coordinated care for special needs individuals. Highmark Wholecare expects all network practicing providers to receive MOC training annually. To access the full training document and sign your attestation, click \u003ca href=\"https://wholecare.highmarkprc.com/Medicare-Resources/Model-of-Care\"\u003ehere\u003c/a\u003e.\u003c/p\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":44,"versionId":5,"title":"Better Doc","type":4,"subType":null,"childSubType":"","date":"6/6/2023","endDate":null,"additionalDate":null,"imageUrl":null,"url":null,"urlText":null,"description":"\u003cp\u003eHighmark Wholecare partners with Quest Analytics\u0026rsquo; BetterDoctor to collect directory attestations every 90 days in compliance with federal regulations. BetterDoc may contact you by email, fax, direct mail or phone. Please complete promptly to ensure members can identify you as a network provider. See the \u003ca href=\"https://content.highmarkprc.com/Files/Wholecare/Forms/BetterDoctorProviderFAQ.pdf\"\u003eBetterDoc FAQs\u003c/a\u003e or their \u003ca href=\"https://questanalytics.com/how-we-help/betterdoctor/\"\u003ewebsite\u003c/a\u003e. Providers must also report any changes using the \u003ca href=\"https://content.highmarkprc.com/Files/Wholecare/Forms/Practice%20Change%20Request%20Form.pdf\"\u003eProvider Change Form\u003c/a\u003e.\u003c/p\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2}]

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.

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