Gateway Health Plan Authorization List

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Medications to Require Medical Prior Authorization

(4 days ago) WEBGateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Highmark Wholecare will require prior authorization for the …

https://content.highmarkprc.com/Files/Wholecare/Updates/J_CodePriorAuthFeb22Care.pdf

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Medications to Require Medical Prior Authorization

(4 days ago) WEBGateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”). Medications to Require Medical Prior Authorization . As a part …

https://content.highmarkprc.com/Files/Wholecare/updates/J_CodePriorAuthApr23Caid.pdf

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Prior Authorization Code Lookup - Highmark Health Options

(Just Now) WEBReview the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-844-325-6251, Monday–Friday, 8 a.m.–5 p.m. Or contact your Provider Account Liaison.

https://www.highmarkhealthoptions.com/providers/prior-auth-lookup.html

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Pennsylvania Medicaid and Medicare Insurance

(Just Now) WEBPennsylvania Community Roots. Highmark Wholecare calls Pennsylvania home. We know that working in our communities helps us offer whole care to our neighbors. We proudly have: More than 400,000 members. A …

https://highmark.com/wholecare

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Medicaid Insurance Program Pennsylvania Highmark …

(3 days ago) WEBThis information is issued on behalf of Highmark Wholecare, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 …

https://www.highmark.com/wholecare/medicaid

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I. Requirements for Prior Authorization of Stimulants and

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . authorization for a Stimulants and Related Agent that was previously approved will take …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=Wm3NfJep0U2ANIFDGz2K5w

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I. Requirements for Prior Authorization of Antidepressants, …

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 . I. Requirements for Prior Authorization of Antidepressants, Other . A. Prescriptions That …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=rWuNlWdTjkmxjnpQVZdf2w

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Gateway Health Medicare Health Physical Medicine Prior …

(9 days ago) WEBauthorization program, you may contact the Magellan Healthcare Provider Service Line at 1-800-327-0641. Magellan Healthcare can accept multiple requests during one phone …

https://www1.radmd.com/media/865522/gateway-health-combined-qrg-pm-09092019.pdf

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Gateway Health Plan Pharmacy Division - MMITNetwork

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 I. Requirements for Prior Authorization of Hypoglycemics, Insulin and Related Agents

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=y4OpuRnDmE2oUVSqn13tHg

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Medical Assistance Drug Search Highmark Wholecare

(2 days ago) WEBYou can search the formulary alphabetically by selecting the first letter of the brand or generic name of the drug you are looking for. You can also search by entering the first …

https://www.highmark.com/wholecare/medicaid/member-resources/medication-information-center/drug-search

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Provider Resource Center

(5 days ago) WEBProvider Resource Center. In December 2016, the 21st Century Cures Act was enacted into law by the 114th United States Congress. Section 212006 of the Cures …

https://wholecare.highmarkprc.com/Provider-Resources/Netsmart-Electronic-Visit-Verification-EVV

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Provider Resource Center

(4 days ago) WEBNew Authorization Requirements for Musculoskeletal/Pain Management, Diagnostic Imaging and Physical Medicine. 3/25/2024. New Authorization Process for Family …

https://wholecare.highmarkprc.com/

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Provider Manual Gateway Health

(5 days ago) WEBPlease contact Medical Management at 434-799-0702, out of area 1-877-846-8930. A nurse reviewer will contact Gateway’s provider of respiratory equipment and oxygen with the …

https://usermanual.wiki/Document/ProviderManualGatewayHealth.1090271477.pdf

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBHorizon NJ Health UM Department to verify that a prior authorization has been obtained. To check status of Prior Authorization and/or changes to the Prior Authorization, go to …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Gateway Health Plan - MMITNetwork

(7 days ago) WEBPrior authorization personnel will review the request for prior authorization and apply the clinical guidelines in Section B. above, to assess the medical necessity of the request for …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=__YriribKEGwHdLn16nSRw

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBan authorization for in-network providers. Any MCO-covered behavioral health service provided by an out-of-network provider will require both an authorization and a single …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Horizon Blue Cross Blue Shield of New Jersey Points of Contact

(3 days ago) WEBEligibility, authorization Peer-to-peer authorization denial review 1-866-496-6200 and select the appropriate menu option for Peer-to-Peer or eviCore.com Drug Authorizations …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Navigating_Horizon_POC_Worksheet_FINAL.pdf

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Horizon Blue Cross Blue Shield of New Jersey 2018 Managed …

(5 days ago) WEBHorizon Blue Cross Blue Shield of New Jersey 2018 Managed Care Benefits-at-a-Glance1. If you have questions about enrollment, benefits or claims, visit NaviNet.net or …

https://www.horizonblue.com/sites/default/files/2018-01/Benefit_Grid_MC.pdf

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Gateway Health Plan - MMITNetwork

(7 days ago) WEBGateway Health Plan Pharmacy Division Phone 800-392-1147 Fax 888-245-2049 I. Requirements for Prior Authorization of Calcium Channel Blockers A. Prescriptions …

https://fm.formularynavigator.com/FormularyNavigator/DocumentManager/Download?clientDocumentId=T_zV264h502Ae4LfBwoBQA

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Here’s a list of the 95 Express stores that will be closing

(1 days ago) WEBExpress Inc. said Monday that it was closing 95 Express-brand stores as part of its bankruptcy plan. The planned closures are spread across 29 states plus Washington, …

https://www.marketwatch.com/story/heres-a-list-of-the-95-express-stores-that-will-be-closing-b7be07a4

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