We maintain the highest ethical and business standards and follow established guidelines when working with suppliers. We maintain a strict code of conduct with ethical behavior required of all team members.
Another part of our job is administering government contracts like Medicare, the Federal Employees Health Benefits (FEHB) Program, and the Children's Health Insurance Program (CHIP).
In our work under these contracts, and when we acquire related goods and services, we have to meet contractual, regulatory, and statutory requirements including provisions within the Federal Acquisition Regulation (FAR) and other state and federal statutes and regulations.
Some of these requirements include:
Prior Notification/Approval: All procurements defined as subcontracts that allocate $25,000 or more to the federal government must have prior notification or approval. This can add 20 to 60 days to the processing of purchase orders and contracts and must be performed before awarding any commitments to a supplier. All commodity and procurement teams should keep this in mind in the beginning stages of their planning and solicitations.
Flow Down Clauses: Procurements defined as subcontracts that allocate $25,000 or more to the federal government must include government-defined contract clauses. These flow-down clauses must be included in either the purchase order or contract.
Maximize Competition: Sealed bidding and competitive negotiations are the two main solicitation methods approved and promoted by the FAR. The competitive process starts at purchases exceeding $2,500. The specific process used is determined by factors like complexity and dollar threshold. For large and complex procurements, a Request for Proposal (RFP) or Request for Quotation (RFQ) is often used to facilitate competition.
Supplier Certification: We may choose not to work with suppliers if they have been debarred, suspended, or otherwise excluded from certain activities by the government. Before placing orders with suppliers using government-allocated dollars, we verify the supplier’s debarment status.
Documentation Requirements: The government confirms compliance with its requirements based on documentation. When audits are performed, documentation must be available that proves these regulations are being adhered to.
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.
This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or 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.
®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. 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 our website 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.
Enter your ZIP code so we can show you personalized information.