Resources that help health care professionals do what they do best — care for our members.
At Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY), we value you as a provider in our network. That is why we have designed the provider site to make it more useful for you and easier to use.
Interested in joining our provider network? We look forward to working with you to provide quality services to our members.
Highmark BCBSWNY is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
New York State Education (NYSED) Law, Article 137 §6807, authorizes practitioners, who are authorized to prescribe, to dispense medications directly to their patients. This dispensing must be done in accordance with federal, State, and New York State (NYS) Medicaid program policies for dispensing, billing, and record keeping.
October 24 through October 31, 2022, is PrEP Awareness Week in New York. Highmark BCBSWNY wants to put a highlight on PrEP (pre-exposure prophylaxis) resources now and going forward available to clinicians by New York State Department of Health.
Quality Management department is conducting an annual medical record review for documentation standards specific to the MMC and CHPlus programs only.
Effective September 1, 2022, Highmark Blue Cross Blue Shield of Western New York members must use providers (e.g., pharmacies, providers, and specialists) enrolled with the NYS Medicaid program.
Rate Our Performance. This information would assist the Network Relations Department in areas of success and improvement.
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the New Baby, New LifeSM program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.
