New and Updated Reimbursement Policies

Highmark regularly issues new or updated reimbursement policies. Keep an eye on the Provider Resource Center (PRC) homepage for Special Bulletins announcing upcoming policy changes and the Reimbursement Policy page for specific policy updates.

Below is a list of upcoming and recently updated Reimbursement Policies (RP) and Medicare Advantage Reimbursement Policies (MRP):

Upcoming

December 30 — Updates to these RPs will become effective on January 1, 2023, but will be published early due to the New Year’s Day holiday.


December 21, 2022 — The following MRPs were posted on the PRC on December 21, 2022. They were updated to add New York Medicare Advantage (MA) as an applicable market effective January 1, 2023.


Recently Updated

Supplies

Vaccinations

 

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