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Provider Updates

Medicaid Updates

To reference archived updates, click here

June 2016 Provider Update and Practice Change Form
June 2016 Announcing New IVR Changes/Provider Phone Tree
June 2016 Provider Revalidation Deadline - July 30,2016
May 2016 IVR Provider Update
May 2016 Provider Update and Practice Change Form
April 2016 Provider Update and Practice Change Form
April 2016 New Fax Number for Claims Dispute Requests
March 2016 Yervoy Medical Payment and Prior-Authorization Policy
March 2016 Payment Dispute Requests and Refunds
March 2016 Provider Update and Practice Change Form
February 2016 Retrospective Authorizations for Pennsylvania Medicaid and New Cataract Removal Reimbursement Policy for Medicare
   -Cataract Removal Questionnaire
February 2016 Provider Update and Practice Change Form
February 2016 Incontinence Supplies Policy
January 2016 Provider Update and Practice Change Form
January 2016 FQHC RHC Billing Guide
December 2015 Claims and Billing Announcements
December 2015 Submit Authorizations Electronically Phase 2
October 2015 ICD Version Indicator
October 2015 Submit Authorizations Electronically Memo        Training Guide
Sept 2015 Clinical Pharmacy Prior Auth Remicade
July 2015 ICD-10 Compliance Date for Implementation Quickly Approaching
July 2015 Practitioner and Facility Emergency Department Policy
June 2015 Submit Radiology Authorizations Electronically
June 2015 Enhanced Clinical Editing Process 
June 2015 Clinical Pharmacy Coverage  IVIG 
June 2015 DME Prior Authorization Change
May 2015 Claims Submission Reminder
May 2015 Lab Announcement
May 2015 Reimbursement Policy Regarding Observation and Extended Assessment and Management in Facilities
April 2015 Important Information about Medicaid Expansion
April 2015 Change in Reimbursement Policy for Hot and Cold Packs

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.

June 2016 NIA Implementation
June 2016 Provider Update and Practice Change Form
June 2016 Announcing New IVR Changes/Provider Phone Tree
- PA       - NC       - KY       - OH
May 2016 IVR Provider Update
May 2016 Provider Update and Practice Change Form
April 2016 Provider Update and Practice Change Form
April 2016 New Fax Number for Claims Dispute Requests
March 2016 Yervoy Medical Payment and Prior-Authorization Policy
March 2016 Payment Dispute Requests and Refunds
March 2016 Provider Update and Practice Change Form
February 2016 Retrospective Authorizations for Pennsylvania Medicaid and New Cataract Removal Reimbursement Policy for Medicare
   -Cataract Removal Questionnaire
February 2016 Provider Update and Practice Change Form
January 2016 Provider Update and Practice Change Form
December 2015 Claims and Billing Announcements
December 2015 Retrospective Authorizations
December 2015 Submit Authorizations Electronically Phase 2
December 2015 Readmissions Retrospective Authorizations
October 2015 ICD Version Indicator
October 2015 Submit Authorizations Electronically Memo          Training Guide
October 2015 COA/BMI Bonus Payment Discontinued
Sept 2015 Clinical Pharmacy Prior Auth Remicade
Aug 2015 Authorization for Post-Acute Care Services 
July 2015 ICD-10 Compliance Date for Implementation Quickly Approaching
July 2015 Practitioner and Facility Emergency Department Policy
June 2015 Submit Radiology Authorizations Electronically
June 2015 Enhanced Clinical Editing Process
May 2015 Claims Submission Reminder
May 2015 Reimbursement Policy Regarding Practitioner and Facility Emergency Department
April 2015 Change in Reimbursement Policy for Hot and Cold Packs

To reference archived updates, click here