• Routine, Urgent and Emergency Services Routine, Urgent and Emergency Care

    Services Defined Members are encouraged to contact their PCP prior to seeking care, except in an emergency. The following are definitions for routine, urgent, and emergency services. Routine – Services to treat a condition that would have no adverse effects if not treated within twenty-four (24) hours or could be treated in a less acute…

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  • Provider Secure Portal Webinar Schedule

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

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  • Children’s Intervention Services (CIS) Reminder

    Important Update: Effective March 1, 2015, all therapists providing Children’s Intervention Services (CIS) including hospital-employed therapists, must be enrolled within the CIS program. This requirement is consistent with the program guidelines for Children Intervention Services established by the Georgia Department of Community Health (DCH). The Children‘s Intervention Service (CIS) program offers coverage for restorative and/or…

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