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REPORTABLE CONDITIONS-Pennsylvania Code Regulations

Gateway Health Plan® (Gateway HealthSM) providers are contractually required to participate/adhere to  Gateway HealthSM Quality Improvement (QI) Programs, including, but not limited to, complying with the regulations found in Title 28, Chapter 27, §27.21a “Reporting of cases by health care practitioners and health care facilities” of the Pennsylvania Code.

Providers are informed of these requirements through the agreement to participate, the Gateway HealthSM Provider Policy and Procedure Manual, Provider Newsletter, Gateway HealthSM website, and direct provider notices.   The regulations which include the list of reportable conditions, can be found at the Pennsylvania Code website, www.pacode.com, or directly at http://www.pacode.com/secure/data/028/chapter27/s27.21a.html

Gateway is required by the State to ensure providers are compliant to report any case of a qualifying disease, infection or condition within the required timeframe as specified in the PA Code.   

*Action Required: Use this link to complete the attestation to acknowledge you have accessed, reviewed, understand, and are adhering  to the State of Pennsylvania mandate to notify reportable conditions as detailed above.