• 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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  • Important Benefit Update: Insect Spray Coverage

    Peach State Health Plan is committed to ensuring our members have the best products available to manage their health. As of July 15, 2016 Peach State Health Plan will be offering two formulations of insect repellant to help prevent the spread of mosquito borne diseases, like Zika.   One of the top prevention recommendations by the…

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