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Medicare Assured® HMO

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Gateway Health Plan Medicare Assured® HMO 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

July 2010 Impact of Substance Use on Pregnant Women and Their Newborns
July 2010 FAQ's for Credentialing
April 2010 New Claims Mailing Addresses
March 2010 Fraud and Abuse Training
October 2009 Antiviral Medication Update
October 2009 Important H1N1 Influenza Update
August 2009 New Hours of Operation
June 2009 CMS Alert
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.

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