• Attention Medicare & Ambetter Providers – Clinical Coverage and Payment Policy Changes Effective 1-15-2017

    Dear Provider, Peach State Health Plan is publishing its Payment and Clinical Policies to inform providers about acceptable billing practices and reimbursement methodologies for certain procedures and services. We will apply these policies as medical claims reimbursement edits within our claims adjudication system. This is in addition to all other reimbursement processes that Peach State…

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  • Peach State Health Plan Medicare Advantage Provider Orientation Webinar

    Peach State Health Plan Medicare Advantage is offering New Provider Orientation Webinars during the month of December. Topics to be covered Plan Overview Membership, Benefits, and Additional Services Providers and Authorizations Preventive Care and Screenings Model of Care (MMP and DSNP only) Medicare STAR Ratings Web Based Tools Network Partners Billing Overview Electronic Funds Transfer…

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  • Peach State Health Plan Dental Network Notice

    Dear Peach State Health Plan Provider: Peach State Health Plan is pleased to announce that as of January 1, 2017, Envolve Dental will be our new dental benefits administrator for the Georgia Families Medicaid and PeachCare for Kids Program. Envolve Dental is a Peach State Health Plan sister company, dedicated to providing dental healthcare benefits…

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