• Peach State Health Plan Dental Network Notice

    Dear Peach State Health Plan Provider: Peach State Health Plan is pleased to announce that as of January 1, 2017, Envolve Dental will be our new dental benefits administrator for the Georgia Families Medicaid and PeachCare for Kids Program. Envolve Dental is a Peach State Health Plan sister company, dedicated to providing dental healthcare benefits…

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  • Medical Eye Care Payment Policy Changes Effective 10/1/16

    Thank you for your continued participation in Peach State Health Plan’s Provider Network. We are writing to inform you that Peach State Health Plan will implement new medical eye care claim edits effective October 1, 2016. Claims for the following codes must be submitted with an approved medically indicated diagnosis:  92020   Gonioscopy 92081, 92082, 92083 …

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  • Prior Authorization Update: Retrospective Authorizations

    Advantage by Peach State Health Plan is committed to delivering cost effective quality care to our members. This effort requires us to ensure that our members receive only treatment that is medically necessary according to current standards of practice. Prior Authorization is a requirement and a condition of payment for some services as defined in…

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