Prior Authorizations and Referrals

Peach State Health Plan provides the same benefits as Medicaid and PeachCare for Kids®, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services Peach State Health Plan offers.

Need help understanding these benefits and services? Call us at 1-800-704-1484 (TTY/TDD 1-800-255-0056).     

You can also view more information about Peach State Health Plan in our Member Handbook.

All services must be medically necessary. Your Primary Care Provider will work with you to make sure you get the services you need. These services must be given by your Primary Care Provider or by another provider that your Primary Care Provider refers you to. 

Some services may:

  • Have coverage limits.
  • Need a doctor’s order.
  • Need prior approval.

*Some Medicaid and PeachCare for Kids® members may not have all the benefits listed.