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Complex Case Management

Gateway Health Plan® provides a Complex Case Management program for eligible members. Gateway's Care Managers help to identify and then provide support, direction and intervention to help members manage the following complex diseases:
  • Chronic Obstructive Pulmonary Disease (COPD) on oxygen
  • Cancers with metastasis
  • Pulmonary hypertension
  • Stage IV heart failure
  • Symptomatic HIV/AIDS
  • New traumatic brain injury with significant cognitive deficits
  • Spinal cord injury with paralysis

If you have one of these diagnoses, please contact the Care Management department at 1-800-685-5212 (option 1) to speak with a Care Manager.

Gateway will review the request for enrollment and make the final decision for inclusion in the program.

Caregiver Information

While taking care of others, it’s important to find the time to take care of yourself. The U.S. Department of Health and Human Services has a website with caregiver resources and information to help. Visit http://www.medicare.gov/caregivers

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H5932_432 CMS Approval 12/18/2009
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Last Updated: 1/12/2010