Resources
Please use this section to print forms, access guidelines, and review our business practices.
Planning for Healthy Babies (P4HB) Program 
- Planning for Healthy Babies_Provider Manual_Updated (PDF)
- Planning for Healthy Babies_Quick Reference Guide (PDF)
- Family Planning Preferred Drug List (PDF)
Important Notices
Events
Utilization Management
- ED Hospital Claim Review Process – Revised 100609
- Hospital to Hospital Back Transfer Policy (PDF)
- Prior Authorization Guide (PDF) – Updated 05/2011
- Peach State Health Plan’s Prior Authorization List
General Information
- Appointment of Representative Form
- 2008 Child and Adolescent Immunization Schedule Update (PDF)
- 2011 Medicaid PDL – 2nd Quarter Updates (PDF)
- Claims Submission Time Frames (PDF)
- Cultural Competency Strategic Plan (PDF)
- Participating Ambulatory Surgical Centers (PDF)
- Payment EX CODES (PDF) – 2009
- Pharmacy Quick Reference Drug List – 06/2011 (PDF)
- Planning for Healthy Babies _ Quick Reference Guide 2011 (PDF)
- Provider Appeal Process – October 2008 (PDF)
- Provider Communication Tip Sheet (PDF)
- Provider Territory List _ December 2011 (PDF)
- Provider Stat Lab List – November 2010 (PDF)
- Provider Quick Reference Guide – Updated 05/2011 (PDF)
- Vaccine for Children Program (PDF)
Billing Guides
- New Billing Requirements Guide (PDF)
- Health Check EPSDT Tips and Reminders (PDF)
- Facility Claims – UB 04 (PDF)
- FQHC/RHC Billing Tips
- FQHC/RHC Health Check Billing Reminders (PDF)
- Physician Claims – CMS 1500 (PDF)
- Provider Watch – Billing Guidelines 2008 (PDF)
HEDIS Tip Sheets – Key Factors to Consider
