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

PA 31-22 (cancelled, 2024-08-21): non awardee Gateway Health Plan, Inc. dba Highmark Wholecare, rank not selected, score 886.63
PA 31-22: protest by Gateway Health Plan, Inc. dba Highmark Wholecare, reversed; award cancelled 2026-04-02