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Gateway Health Plan Medicare AssuredSM is a Medicare approved Special Needs Plan for people with both Medicare and Medicaid. To become a member, beneficiaries must be entitled to Medicare Part A and enrolled in Medicare Part B, receive Medicaid (full or QMB) and reside in our service area.

Provider Updates

October 2008 Flu Vaccine
October 2008 DRG Grouper Billing Guidelines; Change to Utilization Management’s Medicaid 800 Line and Change to Utilization Management’s Process for Voicemail Messages
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

Mission Statement
Gateway Health Plan® emphasizes the development and delivery of innovative programs to positively affect the personal health of its members. Gateway Health Plan® maintains a healthcare delivery system that ensures the availability of high quality medical care for the Gateway member, based upon access, quality and financial soundness.

Medicare Assured®


Gateway to Physician Excellence
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