Who is Peach State Health Plan?
Peach State Health Plan (Peach State) is a health plan participating in Georgia Families® (GF). It is a managed care program for Medicaid and PeachCare for Kids® members. We offer our members local healthcare programs and services. Peach State Health Plan helps our members grow healthy and stay healthy. We provide access to quality healthcare.
Who is Centene Corporation?
Centene Corporation is the parent company of Peach State Health Plan. To find out more visit their site at www.centene.com.
What is Georgia Families®?
The Georgia Families® program delivers healthcare services to members of Medicaid and PeachCare for Kids®. The program is a partnership between the Department of Community Health (DCH), Peach State Health Plan and three other health plans. Learn about Georgia Families®.
What is the Georgia Department of Community Health?
The Georgia Department of Community Health (DCH) is one of Georgia’s health agencies. DCH’s programs provide access to health care services for one in four Georgians. Learn about Georgia Department of Community Health.
What is PeachCare for Kids®?
PeachCare for Kids® offers free or low-cost health insurance. This program is for children through the age of 18. Learn about PeachCare for Kids®.
What is Planning for Healthy Babies®?
Planning for Healthy Babies® (P4HB) covers family planning services for women ages 18-44. Learn about Planning for Healthy Babies.
Is my current primary care physician (PCP) in the Peach State network?
Peach State Health Plan wants you to have a doctor who will meet your medical needs. You can see if your PCP is in our network by searching our provider directory.
Can I change my Peach State Health Plan PCP?
Yes, you can change your PCP 3 times within your first 90 days with Peach State Health Plan. On your 90th day with Peach State Health Plan you are locked into that PCP for 6 months.
If I am pregnant, will I still be able to see the same doctor?
Yes, as long as your current doctor accepts Peach State Health Plan. Remember that because you are pregnant you will have 2 doctors. One doctor is your PCP. The second doctor is your OB/Gyn. Your OB/Gyn will not appear on your Peach State Health Plan ID card. Only your PCP will appear on your Peach State Health Plan ID card. You can keep your current OB/Gyn as long as they accept Peach State Health Plan.
How do I get a new identification (ID) card?
What if I have had a major life change? How do I make sure Peach State Health Plan and DFCS/PCK can always contact my family?
If you have had a major change in your life, your caseworker needs to know. This could be a change in your:
- Telephone Number
- Family Size
Please call your local caseworker at the Department of Family and Children Services (DFCS). To speak with an agent (8 a.m. to 5 p.m. M-F) regarding Food Stamps, TANF, Childcare or Medicaid: Call 1-877-423-4746. Applications for Childcare, Medicaid and Food stamps as well as renewals and case status information for all programs can be accessed at www.compass.ga.gov
How are we going to make sure members have access to good care?
Peach State Health Plan staff will help you:
- Change your PCP
- Teach you how to use your benefits
- Identify special needs
- Refer you to programs or resources
Will my benefits change?
Peach State Health Plan offers the same benefits covered by Medicaid and PeachCare for Kids®. We also offer enhanced benefits that extend your coverage.
What are Peach State Health Plan's benefits and services?
- Choose your own doctor from over 20,000 providers and 40,000 locations.
- Free Dental & Vision Services for adults and children.
- Mental Health & Substance Abuse Services
- Extra Incentives for completing prenatal and postpartum visits.
- Nurse Advice Line: Free 24/7 bilingual health phone line
- START SMART for Your Baby: Program for pregnant women
- MemberConnections™: Outreach program that includes home visits
- FREE transportation. This includes doctor appointments.
- Healthy Solutions: Asthma Program
- Free Translation services.
- Script Assist-help line to assist members with questions about their medication and the side effects and risks.
- Membership for Boys and Girls Clubs with no annual fee for members age 6-18 at participating clubs only
How do I renew my Medicaid eligibility?
You must review your eligibility with the Department of Family and Children Services (DFCS) or PeachCare for Kids®. You must complete the requested information. Go see your caseworker if needed. Tell your caseworker if you have had any major change in your life. This change could be:
- Telephone Number
- Family size
Your eligibility must be renewed through DFCS or PeachCare for Kids®.
How do you complete the review process?
- Online at GA Compass
Medicaid members should contact their county DFCS office for questions about the review process. PeachCare for Kids® members should call 1-877-427-3224. They can give instructions on how to complete the process. Each county office is different.
Please contact your county caseworker when it is time for your review.
What happens if you don’t renew your Medicaid?
You can lose your Medicaid coverage. This will cause a break in your health coverage.
United States citizens and nationals must provide proof of U.S. citizenship. Every member of the family that is a U.S. citizen or national must provide proof. These items can prove citizen status:
- Birth Certificate
- Social Security Card
- Green Card
- Certificate of U.S. Naturalization
- School Records
- State Issued Picture ID
- Confirmation of Birth
You can call Peach State Health Plan Member Services if you have any questions about our services. Call us at 1-800-704-1484 or TTY/TDD 1-800-255-0056. Our staff is here Monday through Friday, between 7 a.m. to 7 p.m. We are closed on holidays.