PARENT
Highmark
Footprint by state. Enrollment is CMS reported. Share and operations counts stay on the state page. A dollar amount is not on this page.
Share trend: 2017: 187,065; 2018: 216,927; 2019: 136,448; 2020: 133,731; 2021: 146,199; 2022: 213,328; 2023: 359,588; 2024: 167,399
| State | Plans | Programs | Latest CMS enrollment | MCPAR operations |
|---|---|---|---|---|
| DE | Highmark Health Options of Delaware | not reported | 119,253 (2024) | 1,891 appeals resolved |
| NY | Highmark Western & Northeastern NY | not reported | 906 (2024) | 12 sanctions, 1,723 appeals resolved |
| PA | Highmark Wholecare | not reported | 150,074 (2023) | not reported |
| WV | WV Family Health, West Virginia Family Health | not reported | 69,911 (2017); 64,396 (2018) | not reported |
Award history
- DE HSS-22-008 (awarded, 2022-07-13): awardee Highmark BCBSD Health Options Inc. dba Highmark Health Options
- PA 31-22 (cancelled, 2024-08-21): non awardee Gateway Health Plan, Inc. dba Highmark Wholecare, rank not selected, score 886.63
- WV MHT RFA (no number captured) (awarded, 2024-01-16): awardee Highmark Health Options West Virginia
- PA 31-22: protest by Gateway Health Plan, Inc. dba Highmark Wholecare, reversed; award cancelled 2026-04-02
Early procurement signals
No retrieved early signal names this organization.
Contract amendments
No retrieved contract amendment names this organization.
Medicaid policy
No retrieved Medicaid policy instrument names this organization.
Plan financials
No retrieved plan financial filing is linked to this organization. A missing filing is not a zero.
Timeline
- not reported