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Provider Updates

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.

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