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Complex Case Management

Gateway Health Plan® (Gateway) 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 to speak with a Care Manager:

Pennsylvania Medicaid: 1-800-642-3550, option 1

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

Medicaid

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