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Gateway Health Plan® Introduces New Pay for Performance Program

At Gateway Health Plan®, we value the important role physicians play in serving our members. We believe that physician practices committed to providing quality healthcare that is accessible and efficient should be recognized and rewarded for their performance... more

Provider Updates

January 2012 How to Obtain a Specialty Pharmacy Medication
September 2011 Xolair Administration Billing Update
July 2011 New Billing Guidelines for Drugs that Qualify for MCO Rebates
May 2011 Revised Spirometry Testing Announcement
April 2011 Change in Process for Requesting Coverage of a Prior Authorization or Step Therapy Drug
March 2011 Position Summary Pennsylvania Medicaid Inpatient Hospital Payment Methodology
February 2011 Tobacco Cessation Webinars
January 2011 Bone Densitometry – Effective January 3, 2011
January 2011 Counter Details - The Educational Difference
October 2010 Gateway Health Plan® HIPAA 5010 and ICD-10 Strategy and Timeline
September 2010 Important Announcement Regarding Preventable Serious Adverse Events and Never Events
September 2010 Important Announcement Regarding New Claims Mailing Address
August 2010 NPI Prescriber Number Required for Pharmacy Claims Processing
July 2010 Impact of Substance Use on Pregnant Women and Their Newborns
July 2010 FAQ's for Credentialing
July 2010 Withdraw From 17 Voluntary Counties Serving the Medicaid Population on September 30, 2010
June 2010 Medicaid Online Formulary Enhancements
June 2010 Help Prevent Tooth Decay in Children
May 2010 Notice to providers who provide Suboxone counseling in their offices
April 2010 New Claims Mailing Addresses
December 2009 New Billing Requirements for EPSDT Screening Services
October 2009 Antiviral Medication Update
October 2009 Important H1N1 Influenza Update
August 2009 New Hours of Operation
June 2009 CMS Alert
May 2009 Flu Vaccine
October 2008 Exciting Changes to Outpatient Surgery Prior Authorization Requirement; DRG Grouper Billing Guidelines; Change to Utilization Management’s Medicaid 800 Line and Change to Utilization Management’s Process for Voicemail Messages; Change to Medicaid Related Readmission Policy
August 2008 Identification and Treatment of Pregnant, Opioid-Dependent Women and Their Newborns.
July 2008 Important Information About (POA) Present on Admission Indicator Reporting; Change in Maternity Outcome Authorization Form; Third Party Liability
March 2008 Important Change to Gateway Health Plan®'s Authorization Criteria
November 2007 Managed Care Organizations' Providers are Required to Register their NPI Numbers with DPW!
April 2007 Vaccine Update
March 2007 Important information regarding Medicaid Voluntary Managed Care Counties
Gateway to Physician Excellence Medicaid
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Gateway to Physician Excellence
Last Updated: 12/30/2010