Peach State Health Plan Blog

A Message From the Georgia VFC Program Regarding 2010-2011 Influenza Vaccine Needs

Mar. 23, 2010 | Author: Peach State | Comments Off

Please click the link below to read the blast fax from the American Academy of Pediatrics – Georgia Chapter.

Flu Vaccine Survey (PDF)

This entry is filed under Blog.

Recommendation to Temporarily Suspend Usage of Rotarix® Vaccine

Mar. 23, 2010 | Author: admin | No Comments »

Please click the link below to read the blast fax from the American Academy of Pediatrics -Georgia Chapter.

Recommendation to Temporarily suspend usage of Rotarix Vaccine (PDF)

This entry is filed under Blog.

Important Changes to Peach State’s Preferred Drug List (PDL) – Effective April 1, 2010

Mar. 2, 2010 | Author: Lasha Moore | No Comments »

Dear Peach State Provider:

Peach State Health Plan (Peach State) is making some important changes to our Preferred Drug List, beginning April 1, 2010. The changes that will be made are described below:

  1. Patients will only be allowed to receive one long acting stimulant and two short acting stimulants per month without prior authorization.
  2. The refill threshold for controlled substances, such as narcotic analgesics, benzodiazepines, stimulants, and amphetamines, will be changed from 85% to 90%.

If you, as a physician, feel that a patient will require medication therapy outside of the above guidelines, you can submit a prior authorization request to US Script, the pharmacy benefit manager for Peach State Health Plan. The Medication Prior Authorization Request Form is available on the Peach State website, www.pshp.com, under the Provider Forms section. This form can be faxed to US Script at 1-866-399-0929.

Thank you,

Wendy D. Bailey, RPh.                   Robyn A. Lorys, Pharm. D.

Director of Pharmacy                    Director of Clinical Pharmacy

Peach State Health Plan                Peach State Health Plan

This entry is filed under Blog, News.

Provider Secure Portal – Office Manager Tool (new web enhancement)

Mar. 2, 2010 | Author: Peach State | No Comments »

Great News!! Peach State  is proud to  announce a new web enhancement to the Provider Secure Portal.  An Office Manager function has been added. This role allows a user who is designated as the Office Manager during the Secure Portal registration process to manage the other users associated with the Provider’s Tax Id Number.

The user designated as the Office Manager will have the ability to create new user logins, disable user logins, and reset passwords for other office staff associated with the same TIN. At least one user for the provider site should be designated as Office Manager. 

Provider offices that have not previously designated an Office Manager during the registration process must create one by registering at www.PSHP.com. During the  registration process, please select the Office Manager Role.

Provider offices in which multiple users have been designated as the Office Manager during registration, we recommend that you review the users registered for your TIN and adjust the roles of any user flagged incorrectly as Office Manager.

Peach State will be offering Webinar sessions to demonstrate the functions available with this new Office Manager Role.  The webinar sessions will be offered March 8, 2010 through March 12, 2010 at 12:00 PM and 2:00 PM.  Please register for these sessions by accessing https:centene.webex.com. Click on the Meeting Center tab and then Browse the Meetings available on the Monthly tab to register for one of the Peach State Secure Portal Office Manager Training sessions.

This entry is filed under Blog, News.

Hospital Statistical Reports (HS&R)

Mar. 1, 2010 | Author: Peach State | No Comments »

Requests for Hospital Statistical Reports (HS&R)

Dear Georgia Hospital Provider:

Peach State Health Plan (Peach State) is pleased to announce a new and more efficient process for responding to your requests for HS&R reports. The new process allows Peach State to track report request through a single entry point and increase the turnaround time for production and delivery of your reports. We will also provide you with an acknowledgement notice that confirms the receipt and processing of your request.

Effective immediately, you must adhere to the process outlined below when requesting HS&R reports. 

  • All requests for production of HS&R reports must be submitted via e-mail to the designated e-mail box or via certified mail to the address identified below.
  • Please note: Any request submitted directly to an individual’s attention will be returned to the requestor via email with instructions on how to submit the request via one of the methods identified below.
  • Acknowledgement notices will be provided via email within three (3) calendars days of receipt of your email request.
  • Acknowledgement notices will be provided in writing within five (5) calendar days of your written request.
  • Submit your e-mail request to:   

Submit your written request via Certified mail to:

Peach State Health Plan
VP of Compliance
3200 Highlands Parkway SE
Suite 300
Smyrna, GA 30082
ATTN:  Request for HS&R Report

Reminder: 

In order to generate your reports, you must provide the following information:    

a. Hospital Name
b. Hospital Tax ID Number
c. Provider Medicaid ID Number
d. Hospital fiscal year or period service dates
e. Hospital fiscal year or period for paid through dates
f. Contact Information – including email

This entry is filed under Blog, News.