Highmark Gag Clause Prohibition Compliance Attestation

This email is intended for producers with business in Delaware, New York, Pennsylvania, and West Virginia.

Gag Clause Prohibition Compliance Attestation as Mandated by the Consolidated Appropriations Act

Why am I receiving this?
We’re writing to inform you about the annual requirement for health plans and insurers to submit a Gag Clause Prohibition Compliance Attestation (GCPCA) to the government, as mandated by the Consolidated Appropriations Act, 2021 (CAA). This year’s attestation is due by December 31, 2024.

What do I need to know?

Highmark conducted a review of relevant participating provider and vendor contracts and determined that we are in compliance with CAA rules regarding gag clause prohibitions.
Highmark will file the GCPCA for all fully-insured clients by December 31, 2024.
Client Managers will send a letter to their ASO clients by November 1, 2024, with a link to the CMS site that provides detailed instructions on how to submit the attestation. A sample of the letter can be found here .

What do I need to do?
Familiarize yourself with CAA rules regarding gag clause prohibitions and be ready to field questions.

Questions?
Please reach out to your Sales Executive or Client Manager.

Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association:
Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company.
Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.
PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.
Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.
West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit https://www.highmarkbcbswv.com/networkaccessplan to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.
Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
Highmark Blue Cross Blue Shield and Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.

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processes, and may include information which Highmark considers to be confidential and proprietary ("the Highmark Information").
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entity with a need to access such information. Unauthorized use, disclosure or copying of the Highmark Information, including the
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