• Clinical Laboratory Improvement Advisory (CLIA) Notice and New Billing Requirements Reminder

    Peach State Health Plan is committed to delivering exceptional service and quality to its members and providers. This effort includes ensuring that providers of laboratory services have the requisite certifications for performing certain laboratory services. Congress established the Clinical Laboratory Improvement Amendments (CLIA) in 1988 to promote the accuracy, reliability and timeliness of patient test…

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  • Provider Secure Portal Webinar Schedule

    Peach State Health Plan will be offering webinar training sessions to demonstrate many of the exciting features available on the Peach State Health Plan┬áprovider secure web portal. Topics covered in secure portal training include: Registering for the provider secure portal Submitting A Prior-Authorization request Checking Member Eligibility Claim Submission Corrected Claim and COB Claim Submission…

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  • DCH Suspension of Providers Who Have Not Revalidated Their Medicaid Enrollment by 4/1/15

    Section 6401 (a) of the Affordable Care Act (ACA) established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria. This revalidation initiative applies to those providers and suppliers that were enrolled in Georgia Medicaid prior to December 31, 2012. Newly enrolled providers and suppliers who were…

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