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Provider Updates

Medicaid Updates

Gateway HealthSM Introduces New Pay for Performance Program

At Gateway HealthSM, 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... Learn more.

To reference archived updates, click here

July 2014 ACA Primary Care Services 2014 Fee Schedule
July 2014 New Lockbox for Submission of Refunds
April 2014 Implementation of Revised CMS-1500 / ACA Provider Revalidation
November 2013 Valid License Numbers in PROMISe
October 2013  ICD-10
July 2013  Mammogram Notice
July 2013  Early Childhood Caries and Obesity, Free Continuing Education Seminar
June 2013  Changes Within Our Utilization Management (UM) Department (update)
May 2013  National Drug Code Reporting Requirements

Medicare AssuredSM Updates

Gateway Health 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.

July 2014 New Lockbox for Submission of Refunds
April 2014 Implementation of Revised CMS-1500 / ACA Provider Revalidation
December 2013 Medicare Inpatient Pricer Delay
October 2013 ICD-10
July 2013 Mammogram Notice
June 2013 Changes Within Our Utilization Management (UM) Department (update)
May 2013 Medicare Advantage Sequestration

To reference archived updates, click here