Clinical Guidelines

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Medicaid

	Provider Manual

Table of Contents

Quick Reference

Coverage Arrangements

Laboratory Services

Primary Care Practitioner

Growing Up With Gateway^SM

Specialty Care Practitioner

OB/GYN Services

Policies and Procedures

Hospital Services

Referrals and Authorizations

Claims and Billing

Appeals, Complaints and Grievances

Care Management


	Drug List and Information

Drug Safety Information

Medication Coverage

Pharmacy and Therapeutics Committee


	Forms & Reference Materials

Physician In-service Materials

Expand EPSDT Periodicity Schedule

EPSDT Periodicity Schedule

Fraud and Abuse Policy

Gateway at a Glance


	Provider News & Updates

Expand Provider News

Expand Newsletters & Newsflashes

Newsletters & Newsflashes

Provider Satisfaction


	Medicaid Quality Improvement


	Patient Safety & Wellness

Expand Immunization Info

Immunization Info

Expand Patient Safety

MEDICAID QUALITY IMPROVEMENT
	Clinical & Preventive Care Guidelines
		ADA Diabetes Clinical Practice Recommendations
		Asthma Clinical Guideline
		Cardiac Clinical Guideline
		COPD Clinical Guideline
		Hypertension Clinical Guideline
		Adult HIV Clinical Practice Guideline
		Adult Preventive Care Clinical Guideline
		Child Preventive Care Clinical Guideline
		PCP Treating Depression
		Routine and High Risk Prenatal Care Clinical Guideline
		Lead Screening
	Medical Record Review Standards
		Medical Record Review Procedure
		PCP Medical Record Review Standards
		Specialist Medical Record Review Standards
		OB/GYN Medical Record Review Standards
		Home Health Agency Medical Record Review Standards
		Skilled Nursing Facility Medical Record Review Standards
	Helpful Forms and Other Information
		Access to New Immunization Record with DTaP/DT
		Chlamydia Information
		Explanation of HEDIS Measures
		HEDIS Measures
		HEDIS vs Medical Record Review Audits
		Physician Communication Form
		Report of GYN Visit Back to PCP

Gateway to Physician Excellence

Medicaid
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Gateway to Physician Excellence

Last Updated: 7/1/2010