• Important Reminder: Co-Payments for PeachCare for Kids ® Members

    Dear Provider: Effective for services provided on and after April 1, 2012 and subject to payment at fee-for-service rates, the Department of Community Health (DCH) implemented co-payments for PeachCare for Kids ® members six (6) years of age and older. These co-payments were consistent with CMS-approved Medicaid co-payments and co-payments exemptions for adults. Peach State…

    Read More...
  • Provider Secure Web Portal Training

    Peach State Health Plan will be offering webinar training sessions to demonstrate many of the exciting features available on the Peach State provider 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 Submitting…

    Read More...
  • Georgia Medicaid NPI Registration Requirement

    REMINDER: Recently, Peach State Health Plan and US Script began editing pharmacy claims based on the prescribers NPI. Georgia Medicaid rules state that prescribers must be enrolled with the state either as a participating provider or as a non-participating ordering, prescribing or referring (OPR) provider. Any prescriptions written by a provider who does not appear…

    Read More...
More News