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Medicare
Medicare Assured - Gateway Health dropdown expander
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Medicare Enrollment for PA Residents | Gateway Health dropdown expander
Plan Finder
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Medicare Enrollment for PA Residents | Gateway Health dropdown expander
2020 Medicare Plans
2020 Medicare Assured Plans - Gateway Health dropdown expander
2020 Medicare Assured Plans - Gateway Health dropdown expander
2020 PA Medicare Plans
2020 PA Medicare Assured Plans - Gateway Health dropdown expander
2020 PA Medicare Assured Plans - Gateway Health dropdown expander
2020 PA Ruby Plan
2020 PA Ruby Plan - Gateway Health dropdown expander
2020 PA Ruby Plan - Gateway Health dropdown expander
2020 PA Diamond Plan
2020 PA Diamond Plan - Gateway Health dropdown expander
2020 PA Diamond Plan - Gateway Health dropdown expander
2020 Summary & Evidence of Coverage
2020 Summary & Evidence of Coverage - Gateway Health dropdown expander
2020 Summary & Evidence of Coverage - Gateway Health dropdown expander
2019 Medicare Plans
2019 Medicare Assured Plans - Gateway Health dropdown expander
2019 Medicare Assured Plans - Gateway Health dropdown expander
2019 PA Medicare Plans
2019 PA Medicare Assured Plans - Gateway Health dropdown expander
2019 PA Medicare Assured Plans - Gateway Health dropdown expander
2019 PA Ruby Plan
2019 PA Ruby Plan - Gateway Health dropdown expander
2019 PA Ruby Plan - Gateway Health dropdown expander
2019 PA Diamond Plan
2019 PA Diamond Plan - Gateway Health dropdown expander
2019 PA Diamond Plan - Gateway Health dropdown expander
2019 OH Medicare Plans
2019 OH Medicare Assured Plans - Gateway Health dropdown expander
2019 OH Medicare Assured Plans - Gateway Health dropdown expander
2019 OH Ruby Plan
2019 OH Ruby Plan - Gateway Health dropdown expander
2019 OH Ruby Plan - Gateway Health dropdown expander
2019 OH Diamond Plan
2019 OH Diamond Plan - Gateway Health dropdown expander
2019 OH Diamond Plan - Gateway Health dropdown expander
2019 NC Medicare Plans
2019 NC Medicare Assured Plans - Gateway Health dropdown expander
2019 NC Medicare Assured Plans - Gateway Health dropdown expander
2019 NC Ruby Plan
2019 NC Ruby Plan - Gateway Health dropdown expander
2019 NC Ruby Plan - Gateway Health dropdown expander
2019 NC Diamond Plan
2019 NC Diamond Plan - Gateway Health dropdown expander
2019 NC Diamond Plan - Gateway Health dropdown expander
2019 Summary & Evidence of Coverage
2019 Summary & Evidence of Coverage - Gateway Health dropdown expander
2019 Summary & Evidence of Coverage - Gateway Health dropdown expander
Learn About Medicare
Medicare Basics - Picking a Plan & Enrollment | Gateway Health dropdown expander
Medicare Basics - Picking a Plan & Enrollment | Gateway Health dropdown expander
Medicare Basics
Explaining Medicare - Gateway Health dropdown expander
Explaining Medicare - Gateway Health dropdown expander
Why Gateway
Why Gateway Health for Medicare Coverage dropdown expander
Why Gateway Health for Medicare Coverage dropdown expander
Picking a Plan
Finding a Medicare Plan - Gateway Health dropdown expander
Finding a Medicare Plan - Gateway Health dropdown expander
How to Enroll
Medicare Enrollment Information - Gateway Health dropdown expander
Medicare Enrollment Information - Gateway Health dropdown expander
Member Tools
Medicare Tools - Getting Started & Find a Doctor | Gateway Health dropdown expander
Medicare Tools - Getting Started & Find a Doctor | Gateway Health dropdown expander
Get Started with Gateway
Getting Started with Gateway Medicare dropdown expander
Getting Started with Gateway Medicare dropdown expander
Medication Benefits
Medicare Medication Information - Gateway Health dropdown expander
Medicare Medication Information - Gateway Health dropdown expander
Formulary Medication
Formulary Medication - Gateway Health dropdown expander
Formulary Medication - Gateway Health dropdown expander
Formulary Exceptions
Formulary Exceptions dropdown expander
Formulary Exceptions dropdown expander
Over the Counter Medications
Over the Counter Medications - Gateway Health dropdown expander
Over the Counter Medications - Gateway Health dropdown expander
Medication Therapy Management
Medication Therapy Management - Gateway Health dropdown expander
Medication Therapy Management - Gateway Health dropdown expander
Transition Policy
Transition Policy - Gateway Health dropdown expander
Transition Policy - Gateway Health dropdown expander
Frequently Asked Questions
Medicare Assured Fequently Asked Questions dropdown expander
Medicare Assured Fequently Asked Questions dropdown expander
Community Resource Connection
Community Resource Connection dropdown expander
Community Resource Connection dropdown expander
Gateway Listens
Gateway Listens | Medicare dropdown expander
Gateway Listens | Medicare dropdown expander
Gateway To Better Health
Benefits & Programs
Medicare Benefits & Programs - Explore Your Membership | Gateway Health dropdown expander
Medicare Benefits & Programs - Explore Your Membership | Gateway Health dropdown expander
Care Management
Care Management of Health Conditions | Gateway Health dropdown expander
Care Management of Health Conditions | Gateway Health dropdown expander
GTLM
Gateway to Lifestyle Management dropdown expander
Gateway to Lifestyle Management dropdown expander
Care Transitions
Care Transitions - Gateway Health dropdown expander
Care Transitions - Gateway Health dropdown expander
Caregiver Resources
Medicare Plans 101, Enrollment, & Benefits - for Caregivers | Gateway Health dropdown expander
Medicare Plans 101, Enrollment, & Benefits - for Caregivers | Gateway Health dropdown expander
Member Newsletters
Medicare Members - Read Our Latest Newsletters | Gateway Health dropdown expander
Medicare Members - Read Our Latest Newsletters | Gateway Health dropdown expander
Opioid/ Substance Use Disorder Resource Center
Medicare Help - Opioid & Substance Use Disorder | Gateway Health dropdown expander
Medicare Help - Opioid & Substance Use Disorder | Gateway Health dropdown expander
Medicaid
PA Medical Assistance - Gateway Health dropdown expander
PA Medical Assistance - Gateway Health dropdown expander
Become a Member
Medicaid in Pennsylvania (PA): Eligibility & How To Enroll | Gateway Health dropdown expander
Medicaid in Pennsylvania (PA): Eligibility & How To Enroll | Gateway Health dropdown expander
Eligibility
Medical Assistance Eligibility - Gateway Health dropdown expander
Medical Assistance Eligibility - Gateway Health dropdown expander
Service Areas
Service Areas - Gateway Health dropdown expander
Service Areas - Gateway Health dropdown expander
Enrollment
Medicaid Enrollment - Gateway Health dropdown expander
Medicaid Enrollment - Gateway Health dropdown expander
Renew Benefits
Medicaid in Pennsylvania (PA): How to Renew Coverage | Gateway Health dropdown expander
Medicaid in Pennsylvania (PA): How to Renew Coverage | Gateway Health dropdown expander
Member Tools
Medicaid - Getting Started, Programs, & More | Gateway Health dropdown expander
Medicaid - Getting Started, Programs, & More | Gateway Health dropdown expander
Get Started With Gateway
Getting Started with Gateway Medical Assistance dropdown expander
Getting Started with Gateway Medical Assistance dropdown expander
Find Medications
Find Medications - Gateway Health dropdown expander
Find Medications - Gateway Health dropdown expander
Formulary Medications
Formulary Medications - Gateway Health dropdown expander
Formulary Medications - Gateway Health dropdown expander
Over the Counter Medications
Over the Counter Medications - Gateway Health dropdown expander
Over the Counter Medications - Gateway Health dropdown expander
Recipient Restriction Program
Recipient Restriction Program - Gateway Health dropdown expander
Recipient Restriction Program - Gateway Health dropdown expander
Medicaid Drug Search
Medical Assistance Drug Search - Gateway Health dropdown expander
Medical Assistance Drug Search - Gateway Health dropdown expander
Specialty Pharmacy
Specialty Pharmacy - Gateway Health dropdown expander
Specialty Pharmacy - Gateway Health dropdown expander
Find A Doctor
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Gateway Health - Find a Doctor dropdown expander
Frequently Asked Questions
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Medicaid Frequently Asked Questions dropdown expander
Community Resource Connection
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Community Resource Connection dropdown expander
Gateway Listens
Gateway Listens | Medicaid dropdown expander
Gateway Listens | Medicaid dropdown expander
HIV Resources
HIV Resources dropdown expander
HIV Resources dropdown expander
Plan Benefits
Medicaid in Pennsylvania (PA): Benefits & Programs | Gateway Health dropdown expander
Medicaid in Pennsylvania (PA): Benefits & Programs | Gateway Health dropdown expander
Special Needs Programs
Medicaid in Pennsylvania (PA): Special Needs Programs | Gateway Health dropdown expander
Medicaid in Pennsylvania (PA): Special Needs Programs | Gateway Health dropdown expander
Gateway to Lifestyle Management Program
Gateway to Lifestyle Management Medicaid Program dropdown expander
Gateway to Lifestyle Management Medicaid Program dropdown expander
EPSDT Program
EPSDT Program - Gateway Health dropdown expander
EPSDT Program - Gateway Health dropdown expander
Lead Screening
Lead Screening - Gateway Health dropdown expander
Lead Screening - Gateway Health dropdown expander
Behavioral Health
Behavioral Health Support - Gateway Health dropdown expander
Behavioral Health Support - Gateway Health dropdown expander
Care Transitions
Care Transitions - Gateway Health dropdown expander
Care Transitions - Gateway Health dropdown expander
GH PATHway
PATHway - Gateway Health dropdown expander
PATHway - Gateway Health dropdown expander
Member Newsletters
Medicaid Members - Read Our Latest Newsletters | Gateway Health dropdown expander
Medicaid Members - Read Our Latest Newsletters | Gateway Health dropdown expander
Opioid/ Substance Use Disorder Resource Center
Medicaid Help in PA - for Opioid & Substance Use Disorder | Gateway Health dropdown expander
Medicaid Help in PA - for Opioid & Substance Use Disorder | Gateway Health dropdown expander
Provider
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Provider dropdown expander
Join Our Network
HCP - Provider Enrollment Form to Join Our Network | Gateway Health dropdown expander
HCP - Provider Enrollment Form to Join Our Network | Gateway Health dropdown expander
Getting Started
Getting Started as a Gateway Health Provider dropdown expander
Getting Started as a Gateway Health Provider dropdown expander
Community Resource Connection
Community Resource Connection - Gateway Health dropdown expander
Community Resource Connection - Gateway Health dropdown expander
Medicare Resources
Medicare Resources for HCPs: Forms, Guidelines, & More | Gateway Health dropdown expander
Medicare Resources for HCPs: Forms, Guidelines, & More | Gateway Health dropdown expander
Guidelines
Medicare Guidelines - Gateway Health dropdown expander
Medicare Guidelines - Gateway Health dropdown expander
Model of Care
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Gateway Model of Care Elements dropdown expander
Compliance
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Medicare Compliance for Providers - Gateway Health dropdown expander
Medicare Provider Updates
Medicare Provider Forms and Reference Materials
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Medicare Provider Forms & Reference Materials dropdown expander
Medicare Medical Policies
Medicare Medical Policies Update | West Virginia Family Health dropdown expander
Medicare Medical Policies Update | West Virginia Family Health dropdown expander
Medicare Medical Policies Archive
Medicare Medical Policies Archive | West Virginia Family Health dropdown expander
Medicare Medical Policies Archive | West Virginia Family Health dropdown expander
Medicare Retired Medical Policies
Retired Medical Policies Archive | West Virginia Family Health dropdown expander
Retired Medical Policies Archive | West Virginia Family Health dropdown expander
Medicaid Resources
Medicaid Resources for HCPs: Forms, Guidelines, & More | Gateway Health dropdown expander
Medicaid Resources for HCPs: Forms, Guidelines, & More | Gateway Health dropdown expander
PA Medicaid Guidelines
PA Medicaid Guidelines for Providers dropdown expander
PA Medicaid Guidelines for Providers dropdown expander
Medicaid Provider Updates
medicaid provider updates dropdown expander
medicaid provider updates dropdown expander
Medicaid Provider Forms and Reference Materials
Medicaid Provider Forms and Reference Materials dropdown expander
Medicaid Provider Forms and Reference Materials dropdown expander
Medicaid Medical Policies
Medical Policies dropdown expander
Medical Policies dropdown expander
Medicaid Medical Policies Archive
Medicaid Medical Policies Archive dropdown expander
Medicaid Medical Policies Archive dropdown expander
Medicaid Retired Medical Policies
Medicaid Retired Medical Policies - Gateway Health dropdown expander
Medicaid Retired Medical Policies - Gateway Health dropdown expander
Medication Policies
Medicaid Medication Policies dropdown expander
Medicaid Medication Policies dropdown expander
Provider Resources
HCP Resources - Tools & Information for Providers | Gateway Health dropdown expander
HCP Resources - Tools & Information for Providers | Gateway Health dropdown expander
EPSDT Information
EPSDT Information for Providers - Gateway Health dropdown expander
EPSDT Information for Providers - Gateway Health dropdown expander
Cultural Toolkit
Multi-Cultural Patient Toolkit - Gateway Health dropdown expander
Multi-Cultural Patient Toolkit - Gateway Health dropdown expander
Quality Improvement
Quality for Members - Gateway Health dropdown expander
Quality for Members - Gateway Health dropdown expander
Payment Policies
Provider Reimbursement Policies - Gateway Health dropdown expander
Provider Reimbursement Policies - Gateway Health dropdown expander
In-Service Materials
Provider In-Service Materials dropdown expander
Provider In-Service Materials dropdown expander
FQHC/RHC Resources
FQHC & RHC Updates - Gateway Health dropdown expander
FQHC & RHC Updates - Gateway Health dropdown expander
Educational Tools
Provider Educational Tools - Gateway Health dropdown expander
Provider Educational Tools - Gateway Health dropdown expander
Reportable Conditions
Reportable Conditions - Gateway Health dropdown expander
Reportable Conditions - Gateway Health dropdown expander
HIV Resources
Pharmacy Tools
Pharmacy Tools - HPC Resources, Coverage Details & Forms | Gateway Health dropdown expander
Pharmacy Tools - HPC Resources, Coverage Details & Forms | Gateway Health dropdown expander
Practitioner Excellence® Program
Practitioner Excellence® Program - Valuing HCPs | Gateway Health dropdown expander
Practitioner Excellence® Program - Valuing HCPs | Gateway Health dropdown expander
Provider Newsletters
HCP - Read Our Latest Newsletters & Updates | Gateway Health dropdown expander
HCP - Read Our Latest Newsletters & Updates | Gateway Health dropdown expander
HIV Resources
HIV Resources dropdown expander
HIV Resources dropdown expander
About Gateway Health
About Gateway Health dropdown expander
About Gateway Health dropdown expander
Who We Are
About Gateway Health- Who We Are, Our History, & Mission dropdown expander
About Gateway Health- Who We Are, Our History, & Mission dropdown expander
Leadership
Gateway Health| Get to Know Our CEO & Leadership Team dropdown expander
Gateway Health| Get to Know Our CEO & Leadership Team dropdown expander
Procurement
Gateway Health| Procurement - Process, FAQs, & Supplier Diversity dropdown expander
Gateway Health| Procurement - Process, FAQs, & Supplier Diversity dropdown expander
Procurement Process
Procurement Process - Gateway Health dropdown expander
Procurement Process - Gateway Health dropdown expander
Supplier Diversity
Supplier Diversity - Gateway Health dropdown expander
Supplier Diversity - Gateway Health dropdown expander
Procurement Contact Form
Procurement Contact Form - Gateway Health dropdown expander
Procurement Contact Form - Gateway Health dropdown expander
Frequently Asked Questions
Procurement FAQs - Gateway Health dropdown expander
Procurement FAQs - Gateway Health dropdown expander
Vendor Code Of Conduct
Vendor Code Of Conduct - Gateway Health dropdown expander
Vendor Code Of Conduct - Gateway Health dropdown expander
News
News Center - Gateway Health dropdown expander
News Center - Gateway Health dropdown expander
Media Center
Gateway Health| Media Inquiries & Requests - Media Center dropdown expander
Gateway Health| Media Inquiries & Requests - Media Center dropdown expander
Contact
Have a question about Medicare or Medicaid? - Contact Us | Gateway Health dropdown expander
Have a question about Medicare or Medicaid? - Contact Us | Gateway Health dropdown expander
Medicare Assured Forms & Reference Materials
Medicare Assured Provider Manual
Provider Manual
NIA Reference Material
NIA Reference Material
Medicare Assured Provider Forms and Reference Material
PHARMACY FORMS
Home Infusion Drug Request Form
Hospice/Medicare Part D Prior Authorization Request Form
Medicare Part D Coverage Determination Request Form
Pharmacy NCPDP Payer Sheet
Request for Drug Coverage Form
Synagis Prescription and Prior Authorization Request Form
BEHAVIORAL HEALTH AUTHORIZATION REQUEST FORMS
Discharge Form
IP Psych Form
IP Substance Abuse Authorization Request Form
Outpatient Authorization Request Form
HOME HEALTH AUTHORIZATION FORMS
Request for Home Health RN Visits
Request For Home Health Aide Visits
Request for Social Worker Visit
Request For Therapy Services
GENERAL PROVIDER FORMS & REFERENCES
After Hours Services
Appointment of Representative Form
Annual Wellness Visit Tools and Reference Materials
Care for Older Adults (COA) Form
Cataract Removal Questionnaire
CMS-1500 Form
CMS UB-04 Form
Clearinghouse/Vendor Trading Partner Agreement
Cultural Competency Data Form
Electronic Funds Transfer (EFT) Authorization Agreement Form
How to Use the Provider Portal Search Tool
ICD-10 Submitter-Provider Quick Start Guide
In-Service Materials
Late Notification FAQ - Medicare
Living Will Declaration
Mass Claims Adjustment Coding Guide
Mass Claims Adjustment Tip Sheet
Maternity Outcomes Authorization Form
Medicare Outpatient Observation Attestation
Medicare Outpatient Observation Notice
Medicare Outpatient Observation Notice Instructions
Member Outreach Form
Model of Care
National Imaging Associates, Inc.(NIA) program information
NaviNet Phase 2
New Trading Partner Application
Non-Participating Provider Complaint Form
Obstetrical Needs Assessment Form (ONAF)
On Call Primary Care Practitioner Coverage Agreement
Opioid - CDC Guideline for Prescribing Opioids for Chronic Pain
Optum OB User Guide
Outpatient Program Exceptions Request –
Please submit via Navinet.
Practice/Provider Change Request Form
Practitioner and Provider Satisfaction Survey Results
Prior Authorization Requirements (PA)
Provider Self-Audit Overpayments Form
Provider Trading Partner Agreement
Refund Form
Submit Authorizations Electronically Training Guide
TCM Tools and Reference Material
Transitional Care Management
Waiver of Liability Statement Form
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