• 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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  • Advanced Life Support Ground Ambulance Payment Policy

    Peach State Health Plan will provide reimbursement for Advanced Life Support (ALS) ground ambulance services when the services are medically necessary, meet the destination limits of closest appropriate facilities, and services are provided by a licensed ambulance provider. The use of emergency transport must be justified based on the condition of the patient. Reimbursement will be provided…

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