FQHC/RHC Resources

Guidelines, Resources and More for Our Providers

These resources are for Federally Qualified Health Centers and Rural Health Clinics. They include provider in-service materials, billing information, roster template and instructions, provider portal references, DHS & CMS regulatory requirements and more.

FQHC RHC Provider Orientation

Highmark Wholecare Organizational Provider Participation Application

FQHC-RHC Provider Change Form

FQHC RHC Roster Template

FQHC/RHC Claims Review Template

Provider In-Service Materials

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 14 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.

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