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Medical Assistance (Medicaid) Provider Updates Archive

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
January 2015 Gateway Medicaid Recipients ESRD Review Provider Notice
December 2014 ACA Rates
December 2014 National Drug Code Reporting Requirements
December 2014 NIA Implementation
October 2014 New Claims Mailing Address
October 2014 Change in Recredentialing Approval Notice
July 2014 ACA Primary Care Services 2014 Fee Schedule
July 2014 New Lockbox for Submission of Refunds
April 2014 Implementation of Revised CMS-1500/ ACA Provider Revalidation
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
April 2012 Changes to Gateway HealthSM Pharmacy Benefits
January 2012 How to Obtain a Specialty Pharmacy Medication
September 2011 Xolair Administration Billing Update
July 2011 New Billing Guidelines for Drugs that Qualify for MCO Rebates
May 2011 Revised Spirometry Testing Announcement
April 2011 Change in Process for Requesting Coverage of a Prior Authorization or Step Therapy Drug
March 2011 Position Summary Pennsylvania Medicaid Inpatient Hospital Payment Methodology
January 2011 Bone Densitometry – Effective January 3, 2011
January 2011 Counter Details - The Educational Difference
October 2010 Gateway HealthSM HIPAA 5010 and ICD-10 Strategy and Timeline
September 2010 Important Announcement Regarding Preventable Serious Adverse Events and Never Events
September 2010 Important Announcement Regarding New Claims Mailing Address
August 2010 NPI Prescriber Number Required for Pharmacy Claims Processing
July 2010 Withdraw From 17 Voluntary Counties Serving the Medicaid Population on September 30, 2010
June 2010 Help Prevent Tooth Decay in Children
May 2010 Notice to providers who provide Suboxone counseling in their offices
December 2009 New Billing Requirements for EPSDT Screening Services
October 2009 Antiviral Medication Update
October 2009 Important H1N1 Influenza Update
June 2009 CMS Alert
May 2009 Flu Vaccine
October 2008 Exciting Changes to Outpatient Surgery Prior Authorization Requirement; DRG Grouper Billing Guidelines; Change to Utilization Management’s Medicaid 800 Line and Change to Utilization Management’s Process for Voicemail Messages; Change to Medicaid Related Readmission Policy
July 2008 Important Information About (POA) Present on Admission Indicator Reporting; Change in Maternity Outcome Authorization Form; Third Party Liability
March 2008 Important Change to Gateway HealthSM's Authorization Criteria
April 2007 Vaccine Update
March 2007 Important information regarding Medicaid Voluntary Managed Care Counties