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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

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
April 2013  Strategy on Implementation of Medicare Rates for Primary Care Services
April 2013  Changes Within Our Utilization Management (UM) Department
April 2013  New Fax Numbers for Provider Relations, SNU, and MOM Matters®®
April 2013  New Corporate Address
March 2013  Healthy Teeth, Healthy Children
February 2013  Voiance Interpreter Services
February 2013  Eliminating Prescriptions for Mammograms
February 2013  Asthma Kit Program
January 2013  New NPI Requirements
December 2012  NIA, Lifting of Outpatient Hospital Referrals and Timely Filing Change
December 2012  Gateway HealthSM Has Partnered With Inpatient Claims Review Services 
September 2012  Claim Check Announcement
May 2012  Revision of On-Line Training Module for the Application of Topical Fluoride Varnish

Medicare Assured® Updates

Gateway HealthSM Medicare Assured® (HMO SNP) 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.

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
April 2013  Changes Within Our Utilization Management (UM) Department
April 2013  New Fax Numbers for Provider Relations, SNU, and MOM Matters®®
April 2013  New Corporate Address
March 2013  Healthy Teeth, Healthy Children
February 2013  Voiance Interpreter Services
February 2013  Eliminating Prescriptions for Mammograms
February 2013  Asthma Kit Program
January 2013  New NPI Requirements
January 2013  CMS Inpatient Pricer Update
December 2012  CMS Inpatient Price Delay
December 2012  NIA, Lifting of Outpatient Hospital Referrals and Timely Filing Change
December 2012 Gateway HealthSM Has Partnered With Inpatient Claims Review Services 
October 2012 Gateway Has Partnered With Integra Health Management, Inc 

To reference archived updates, click here