Peach State Health Plan Medicaid


Why Is Wellcare Changing To Peach State Health Plan

Peach State Health Plan. We Get You.

In Georgia, WellCare Health Plans and Peach State Health Plan are bringing our health plans together to better serve our members, providers, partners and communities. This joining of our organizations will allow us to become a more robust health plan and enhance the delivery of best-in-class care to our members.

Does Medicaid In Georgia Cover Dental

Georgia Medicaid provides comprehensive dental services for children under the age of 21, but the services for adults are significantly different. For adults, Georgia Medicaid covers only emergency dental care. Dental care is not mandatory and there are no minimum requirements for adult dental coverage.

Peach State Health Plan And Morehouse School Of Medicine Establish Health Equity Innovation Fund To Improve Health Outcomes In Black Communities


Atlanta, Ga. Peach State Health Plan and Morehouse School of Medicine have established the Peach State Excellence in Health Equity Innovation Fund and Initiative, a partnership that will enhance health outcomes and equity for Black communities across Georgia. The new initiative was launched with a $500,000 donation from Peach State Health Plan and will provide seed funding to many of Morehouse School of Medicines health-equity innovation efforts in education, clinical innovation, community service, research excellence, and pipeline programs.

The new partnership with Peach State Health Plan will help our students, researchers, and faculty address the healthcare disparities in Black communities throughout Georgia, said President and Dean Valerie Montgomery Rice, MD. Morehouse School of Medicine, as one of the nations few historically Black medical schools, intimately understands this challenge and is uniquely positioned to address it. The gift from Peach State Health Plan will allow us to do more of what we do best.

The new partnership with Peach State Health Plan will help our students, researchers, and faculty address the healthcare disparities in Black communities throughout Georgia- MSM President and Dean, Valerie Montgomery Rice

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Planning For Healthy Babies

P4HB members need to renew each year. You will get a renewal notice in the mail before the deadline.

To renew:


P4HB members renew every 12 months. Youll get a renewal note in the mail before the deadline.

To renew call . Youll need to confirm your income when you renew. You can use pay stubs within 90 days of your renewal deadline.

Need help or your renewal date? Call .

Ambetter Peach State Health Plan

Georgia Healthcare Solutions

Compare affordable Ambetter Peach State Health Plan insurance and save money. Its easy to get a free insurance quote now.

Ambetter From Peach State Health Plan is authorized as a Qualified Health Plan provider for Georgias Health Insurance Marketplace. Peach State Health Plan sells marketplace health insurance plans under the Ambetter brand name on behalf of its parent company Centene Corporation. Georgia residents can purchase Ambetter plans where available from among 3 metal categories: Ambetter Essential Care Bronze, Ambetter Balanced Care Silver, and Ambetter Secure Care Gold. Each plan provides a different level of cost-sharing, but all include coverage for essential health benefits.

Peach State Health Plan was founded in 2006 and is a health maintenance organization . The company was approved to enter the Georgia marketplace to sell Ambetter products in 2013.

Peach State Health Plan has received recognition from the Environmental Protection Agencys National Environmental Leadership Award for its Asthma Management Program and the Case in Point Platinum Award for improving pediatric dental outcomes for Medicaid members.

Like many insurance companies, Ambetter From Peach State Health Plans product offerings include HMO plans.

Explore Ambetter From Peach State Health Plan with HealthMarkets today!

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Peach State Health Plan Donates Baby Formula To Local Providers To Address Supply Shortages Across Georgia

ATLANTA, July 1, 2022 /PRNewswire/ — This week, to help alleviate ongoing supply shortages of baby formula, Peach State Health Plan continued its efforts to deliver critically-needed infant and baby formula to Georgia’s medical providers in underserved areas around the state. Over 200 cannisters of formula have been distributed to pediatric clinics in Southwest Georgia and Atlanta, providing approximately 4,200 meals to feed newborns and babies of parents and families struggling to access this critical resource.

“The increased cost and scarce availability of baby formula is putting undue stress on Georgia’s communities, and negatively impacting the health of newborns and their families,” said Wade Rakes, CEO and President of Peach State Health Plan. “Some of the most negatively impacted are those living in rural and underserved regions of the state, and Peach State Health Plan is committed to help provide formula to areas that are in the greatest need.”

Across the country over the past few months, parents and healthcare providers saw the availability of formula in stores diminish and prices on the secondary market soar. While supplies are slowly returning, many underserved and rural areas of the state are still experiencing critical shortages, causing parents across Georgia to continue to struggle to find formula. As Georgia’s largest care management organization, Peach State is working with community physicians to address the needs of Georgia families.

Peach State Health Plan And The Medical College Of Georgia At Augusta University Select 2022 Peach State Scholars

ATLANTA, Aug. 26, 2022 /PRNewswire/ — This week, leaders from Peach State Health Plan and the Medical College of Georgia at Augusta University announced the official 2022 “Peach State Scholars” during a ceremony on Augusta University’s campus. The seven students make up the second class of Peach State Scholars participating in the Medical College of Georgia’s MCG3+ Primary Care Pathway Program.

The program, which launched in 2020, allows selected students to finish medical school in three years rather than four and go directly into a primary care residency in Georgia. In exchange for their commitment to serve in a rural or underserved area of the state, these students will receive a scholarship for tuition, which was made possible by a $5.2 million donation from Peach State Health Plan in 2021.

“We are excited to see the MCG3+ Primary Care Pathway Program expand into its second year with the 2022 Peach State Scholars,” said Wade Rakes, Chief Executive Officer, Peach State Health Plan. “These medical students will soon be on the frontline of medical care in Georgia’s underserved communities. As this innovative program continues, together we’ll help develop more doctors throughout the state of Georgia.”

Governor Brian Kemp matched Peach State Health Plan’s initial donation to kickstart the program, adding another $5.2 million in funding. This year, Governor Kemp and the Georgia General Assembly added an additional $8.7 million to the program.

Reginald D. Benson, Jr.


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Are There Strategies For Coping With The Covid

Worry and anxiety can rise about the spread of COVID-19. Concern for friends and family who live in places where COVID-19 is spreading or the progression of the disease is natural.

  • Take care of your body. Take deep breaths, stretch or meditate.
  • Connect with others. Share your concerns and how you are feeling with a friend or family member. Maintain healthy relationships and a sense of hope and positive thinking.

Peach State Health Plan

Peach State Health Plan – Transit Advertising

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Peach State Health Plan is committed to helping you reach your wellness goalsto lose weight, eat healthier, move more, develop a more positive mindset, or all the aboveby offering discounted pricing on the WW by WW offerings listed below.

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Get in-person and virtual weight-loss support from your Coach and a group of WW members whenever you need it. Were reopening with more locations and times, including unlimited virtual sessions. Plus, all the benefits of the Digital plan.

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Already a WW member? You can sync your current WW account to get this discount online or by contacting customer service.

How WWs NEW Program Works

1. Unlock anindividualized plan based on your body, your goals, and the foods you loveno two plans are the same.

2. Increase your food Budget by eating non-starchy veggies, drinking water, and being active.

3. Stay supported with easy-to-use app tools, 24/7 Coaching, and a community you can lean on.

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Protect Yourself And Your Community

We all have a role to play in protecting our communities and families from the spread of coronavirus. It is similar to other communicable viruses. You can also follow these tips to prevent infection:

  • Wash your hands thoroughly and frequently. Use soap and water for at least 20 seconds.
  • Use an alcohol-based hand sanitizing rub .
  • Cover your mouth when you cough or sneeze by coughing/sneezing into your elbow.
  • Promptly dispose of tissues in a wastebasket after use.
  • Clean public surfaces thoroughly.
  • Avoid close contact with people who are sick.
  • Get a flu vaccine.

About Morehouse School Of Medicine

Morehouse School of Medicine , located in Atlanta, Ga., was founded in 1975 as the Medical Education Program at Morehouse College. In 1981, MSM became an independently chartered institution. MSM is among the nations leading educators of primary care physicians and was recently recognized as the top institution among U.S. medical schools for social mission. Our faculty and alumni are noted in their fields for excellence in teaching, research and public policy.

MSM is accredited by the Accreditation Council for Continuing Medical Education, Accreditation Council for Graduate Medical Education, Council on Education for Public Health, Liaison Committee on Medical Education and Southern Association of Colleges and Schools.

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Does My Plan Cover Covid

Yes. When medically necessary diagnostic testing, medical screening services and/or treatment is ordered and/or referred by a licensed health care provider, we will cover the cost of medically necessary COVID-19 tests, screenings, associated physicians visit and/or treatment. If applicable, your plans copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment.

Where May I Receive Covid

Billing and Insurance Information

Medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment and the associated physicians visit will be covered when ordered, referred and/or performed in the following In-Network locations:

  • Physicians/Practitioners Office
  • Urgent Care Facility
  • Emergency Department Facility

Are you unsure if you have been exposed to or at-risk of being infected with COVID-19? Schedule a virtual care visit with a provider. It is a good option for non-urgent care to limit potential exposure in a physicians office or other healthcare facility.

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New Peach State Health Plan Dental Benefits Administrator Envolve Dental

Peach State Health Plan is pleased to announce that as of , Envolve Dental will be their 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 to individuals in need and improving efficiencies for dental providers. Listed below is additional information to assist with the transition to the new dental administrator.

Envolve Dental will honor authorizations approved by DentaQuest prior to January 1, 2017 with dates of service between January 1, 2017 through March 31, 2017 or until the DentaQuest authorization expiration date.

DentaQuest will be responsible for adjudicating and reimbursing all dental claims for covered services rendered to Peach State Health Plan Members on or before December 31, 2017.

Peach State Health Plans Medical Management Department will continue to process and manage the hospital and IV Sedation authorizations.

As PSHP have done previously, they wanted to provide you with information regarding this important change. If you have additional questions or need additional clarification regarding this change, please contact Peach State Health Plan Provider Services at 1-866-874-0633. Please visit their website at to obtain the most current up to date information on contracted dental providers.

Ambetter From Peach State Health Plan Health Insurance Awards And Recognitions

Dorland Health Case In Point Award Asthma Management Program CentAccount ER Case Management, Peach State Health Plan NICU/Special Care Nursery Breast Pump Program Foster Care Discharge Planning, Centene and Superior HealthPlan Emergency Department Case Management Program, Peach State Health Plan HRA for Serious Mental Illness, Nurse Wise/Nurse Response Hermes Awards My Route to Health Off the Chain Sickle Cell

National Health Information Awards My Route to Health Super Centeam 5 Cookbook Smart Start for Your Baby – A Guide to Your Baby’s Care the First Year Off the Chain Living Well with Sickle Cell Smokey Yuckpack Adventures from Puffletown National Environmental Leadership Award Adventures from Puffletown 2012 National Urban League Health Innovator Award URAC Best Practices in Health Care Consumer Empowerment and Protection Awards Centene Corporation/Nurtur, Asthma Solutions for a Managed Medicaid Population Medicaid Health Plans of America – Best Practices Awards

2012 Outreach Award: Nurtur Diabetes Program Case-in-Point Platinum Awards

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Is Prior Authorization Required For Covid

No. We will not require prior authorization, prior certification, prior notification and/or step therapy protocols for medically necessary COVID-19 diagnostic testing, medical screening services, and/or treatment when medically necessary services are ordered and/or referred by a licensed health care provider.

What Kind Of Insurance Is Centene

Peach State Health Plan. We Get You.

The Centene story began in 1984 as a single nonprofit Medicaid health plan operating in the basement of a Milwaukee, Wisconsin hospital. Today, Centene is the largest Medicaid managed care organization in the country, and a leader in California, Florida, New York, and Texas, four of the largest Medicaid states.

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How To Return To Adult Day Services

Protect yourself and those around you. Please consider the following before returning to adult day services.

  • If you feel sick, stay home.
  • Avoid public places.
  • Contact your health care provider.
  • Practice healthy habits.
  • Wash your hands after touching public surfaces.
  • Avoid touching your face.
  • Sneeze or cough into a tissue. You can also use the inside of your elbow.
  • Clean frequently used items and surfaces as much as possible.
  • Use a face mask while in public.
  • Personal Protective Equipment and frequent hand washing
  • Your provider may require a face covering and gloves during a visit. They may also require frequent hand washing.
  • Your service plan may be updated based on how you tolerate these changes.
  • This has been a stressful time. If its affecting your mental health, you may need to speak to someone.
  • As a Peach State Health Plan member, you have access to health professionals 24/7. You can call the 24/7 Nurse Advice Line for non-emergencies. For more information about this service, call us at .

    Its important to change how we use public spaces. Consider whether you need to touch certain objects and surfaces. Be sure to wipe public items before and after you touch them.

    How Do I Keep My Phone Clean And Safe From Covid

    Tip #1: Clean your phone right now

    Drop what youre doing! Clean your phone and case right now! You can use disinfecting wipes or sprays.

    Why is this important?

    Its easy to say I can always clean my phone later. If you do it right now, you wont forget! Weve also told you how so you dont have to figure that out on your own.

    Tip #2: Use an alarm

    Set a phone alarm called clean phone. Set an alarm on your phone called clean phone once per day. When it goes off, clean your phone right then and there!

    Why is this important?

    Even if you just cleaned your phone right now, youre going to forget later! Thats why reminders are so important. Youll have to clean.

    For more information about cleaning and disinfecting visit the CDC Cleaning And Disinfecting Your Home page.

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    Will I Be Responsible For Any Out

    No. We will cover medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment at no charge to you, when such services are ordered and/or referred by a licensed health care provider. If applicable, your plans copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment, along with the associated physicians visit.

    Ambetter From Peach State Health Plan


    Ambetter from Peach State Health Plan is Centenes Health Insurance Marketplace product in Georgia. Ambetter exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally.

    • Health Insurance Marketplace

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    About Peach State Health Plan

    Peach State Health Plan is a Care Management Organization that serves the needs of Georgians through a range of health insurance solutions. Peach State Health Plan serves the Medicaid and PeachCare for Kids® population in partnership with Georgia Families. The organization also focuses on under-insured and uninsured individuals through its federal insurance marketplace plan, Ambetter, and its Medicare Advantage Special Needs Plan. Peach State Health Plan is a wholly owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise. For more information visit

    Things To Be Aware Of While At Your Adult Day Center

    We have all had to make changes to reduce the spread of COVID-19. To reopen, we will need to continue these safe practices.

    • Social distancing
    • Stay 6 feet away from others when going into a shared space.
  • Wash your hands.
  • Wash hands with soap and water for at least 20 seconds.
  • Use sanitizer with at least 60% alcohol when soap and water are not available
  • Wear a face covering.
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    How To Enroll

    It’s easy for you to pick Peach State Health Plan. To see if you are eligible for Medicaid or PeachCare for Kids® visit Georgia Gateway.

    Once you are approved for Medicaid or PeachCare for Kids® you must enroll with Georgia Families®. You will have 30 days to enroll in Georgia Families® and choose a health plan. If you do not enroll within 30 days, a health plan will be chosen for you.

    Four ways to choose Peach State Health Plan:

  • Online: Go to New Member Enrollment and follow the steps.
  • Call . Tell them you want to choose Peach State Health Plan.
  • On paper: Use the form you get in the mail from Georgia Families®. Choose Peach State Health Plan. Mail or fax it to Georgia Families®.
  • Mail to: Georgia Families®, PO Box 1096, Atlanta, GA 30303-9997
  • In person: Meet with an enrollment counselor in person. To set up a meeting, call . Tell them you want to choose Peach State Health Plan.
  • Once you pick Peach State Health Plan, we will send you a letter telling you when you can start using your new services.


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