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Table of Contents
Quick Reference
Introduction
Member
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
Credentialing
Drug List and Information
Drug List
Drug Recall
Drug Safety Information
Medication Coverage
Pharmacy and Therapeutics Committee
Forms & Reference Materials
Forms
Physician In-service Materials
HIPAA
EPSDT Periodicity Schedule
Fraud and Abuse Policy
Gateway at a Glance
Helpful Links
Provider News & Updates
Provider News
Newsletters & Newsflashes
Provider Satisfaction
Medicaid Quality Improvement
Patient Safety & Wellness
Immunization Info
Patient Safety
Provider Updates
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
MedicaidQuick Links
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Last Updated:
1/1/2010