Thanks alot! We recently had a situation where we billed Gateway Medicare insurance as a secondary like Medicaid, but we were denied because Gateway was not yet sold yet in our area as a Medicaid, only Medicare. So we couldn't do anything about it. I thought it was the strangest thing. They kept saying "it's not a Medicaid, only like a Medicare" and I couldn't understand what they meant, but then my manager explained that we weren't a participant and couldn't be anyway.