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Skip Navigation Links Medicare Assured® HMO > Providers > Medicare Assured® HMO Quality Improvement > Complex Case Management

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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
The practitioner’s role in Gateway’s Complex Case Management program is extremely important. Practitioners who have identified a member who they think would benefit from this program should contact the Case Management department to speak with a Care Manager at:

1-800-685-5212, option 1

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

 Gateway to Physician Excellence Medicare Assured® HMO
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Gateway to Physician Excellence
Last Updated: 1/1/2010