Join Our Network


Thanks for your interest in becoming a Highmark Wholecare network provider.  Your request will be reviewed and you will be contacted by phone and/or email within the next 12 business days.

Before completing the application please review the below FAQs.

Required Key Information – Review prior to completing Application.
Key Information

Application – Excluding provider types listed below.
Join Our Network Form

Behavioral Health/Substance Abuse, Dental & Vision Care Providers
Behavioral Health, Substance Abuse, Dental and Vision

Provider Add and Change Forms

Cultural Competency
Cultural Competency Data Form

Additional Resources: 

Are you currently participating with Highmark Wholecare? *
Which Line(s)-of-Business are you interested in applying for? *
Do you currently accept PA Medicaid? * Per our HealthChoices Must be enrolled in the PA MA program and possess an active MMIS Provider ID.
Do you currently accept Medicare? *
Do you treat pediatric patients?*
Is your practice a Federally Qualified Heath Center (FQHC) or Rural Health Clinic (RHC)? *
Are you Board Certified? *


This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 27 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania.

Copyright 2022 by Highmark WholecareSM