July 15, 2008

Dear Peach State Providers:

As you may be aware, a bill was passed during the last session of the Georgia General Assembly that will have a direct impact on the operating procedures of Peach State Health Plan (Peach State) and the other Care Management Organizations (CMOs) serving Georgia’s Medicaid and Peach Care for Kids members. The new law, which is known as House Bill 1234, was signed by the Governor on May 13, 2008 and is scheduled to become effective July 1, 2008.

In order to comply with the new requirements, Peach State completed an operational review of our policies and procedures and where appropriate, we are reconfiguring our systems and revising policies and procedures to fulfill the requirements of the law. Certain aspects of the bill will be compliant by July 1st with the remaining areas fully compliant no later than August 1, 2008.

The attached guide contains information regarding the revised policies and procedures that are being implemented to comply with the law and the new procedures you will need to follow as a result of the policy changes. We are also updating our Provider Manuals and other educational resource tools and will make these documents available on our website at www.pshp.com. In the interim, the attached guide services as a reference tool to assist you in understanding the procedures you must follow to comply with the revised policies.

Thank you in advance for your patience while we implement these changes. We value your participation in our network and will work diligently to ensure a smooth implementation of the new procedures. Should you have questions in the interim or need clarification regarding the policy changes, please contact our Provider Solutions Department at 866-874-0633. We will be happy to assist you in anyway that we can to ensure a seamless transition. Please click here to view this notice in its entirety,  HB 1234 Notice (PDF).

Sincerely,

Peach State Health Plan

This entry is filed under News.