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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

October 2008 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

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