Peach State Medicaid In Georgia


New Peach State Health Plan Dental Benefits Administrator Envolve Dental

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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.

How To Contact Peach County Family & Children Medicaid Office In Georgia

You need to know how to contact Peach County Family & Children Medicaid Office in case you ever need to report to the facility. Even after you apply for Medicaid benefits in Georgia, you may need to go to the office to speak with program workers. For this reason, it is important that you know how to contact the Peach County Family & Children Medicaid Office. This Fort Valley Medicaid office is located at:

Peach County Family & Children Medicaid Office 700 Spruce St, Fort Valley, GA 31030, USA Thursday 8AM-4PM, Friday 8AM-4PM, Saturday Closed, Sunday Closed, Monday 8AM-4PM, Tuesday 8AM-4PM, Wednesday 8AM-4PM.

Additionally, remember that you can contact the Peach County Family & Children Medicaid Office by calling . You can also find this Fort Valley Medicaid office at its official website,

For Members In Medicaid Or Peachcare For Kids

Georgia Families gives you choices for your health care! Choose a health plan and a Primary Care Provider for each member in your family who is in Medicaid or PeachCare for Kids®.

Alert: Due to COVID-19 restrictions, in person visits are not currently available.

As soon as you become a member of Medicaid or PeachCare for Kids® you will be enrolled into a health plan. If you do not want the health plan we chose for you, you can change to another health plan. You will have 90 days from the start date of your health plan to change. You can change your health plan in one of these three ways:

  • Online: Go to Log In or Register link and follow the steps.
  • at 1-888-GA-Enroll Call Monday to Friday, 7 a.m. to 7 p.m.
  • On paper, using a form you get in the mail from Georgia Families
  • Learn more about:

    • Contacts: Georgia Families, Medicaid, PeachCare for Kids®, Family & Children Services offices, health plans

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    The Peach County Family & Children Medicaid Office In Fort Valley Georgia

    The Peach County Family & Children Medicaid Office is a Medicaid office you can apply at in Fort Valley, Georgia. This facility is funded jointly by the federal government and the state government. You need to legally reside in Georgia in order to apply for benefits at this facility. This is because you may only receive Medicaid benefits in your home state. Even though the Peach County Family & Children Medicaid Office is required to follow state and federal guidelines regarding operation, it still maintains autonomy. This means that each Medicaid office in Georgia may have rules that are slightly different from one another.

    For example, one Medicaid office in Fort Valley may encourage you to schedule an appointment before you apply for benefits. An office in another city, however, may not. You may use the information below to help you understand which rules you need to follow when you apply for support at the Peach County Family & Children Medicaid Office.

    Ambetter From Peach State Health Plan Health Insurance Awards And Recognitions

    PeachCare for Kids®

    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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    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

    Renew Your Coverage In One Of These Ways

    • Online. Go to the Georgia Gateway, sign in and renew your benefits.
    • Call 1-888-GA-Enroll . Business hours are 7 a.m. to 7 p.m., Monday through Friday.
    • Fill out the form and mail it back right away to DFCS. Find the address to your local county office here.
    • In Person. Visit your local county DFCS office. Find the address to your local county office here.

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    Georgia Eyes New Medicaid Contract But How Is The State Managing Managed Care

    By Rebecca Grapevine, Georgia Health News and Andy MillerSeptember 13, 2021

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    For Additional Information About This Life

    “Coverage Gap” Exists Between Affordable Care Act and Medicaid

    These are specific to Peach State:

    • Levels 1-20, dependent on income
    • Balanced split between out of pocket expenses and deductibles
    • Addiction coverage available, co-pays may apply
  • Higher out-of-pocket expenses and deductibles, lower premium
  • Addiction coverage at every level, co-pays may apply
  • Lower out-of-pocket expenses and deductibles, higher premium
  • Addiction coverage on all levels, co-pays may apply
  • Knowing the details of your coverage is particularly important in making sure the treatment you need will be available to you at the most convenient cost. Once you are familiar with the ins & outs of your plan, you will want to familiarize yourself with HMO and PPO plans.

    The first, Preferred Provider Organization plans allow an individual to receive treatment from providers that are out of network, without having to receive a referral. The PPO plan can be pricey, however, it allows the individual to receive treatment from a variety of different treatment providers and providers and have the treatment covered once they file their claim.

    The Health Maintenance Organization plan, is more cost-effective than a PPO. However, HMO plans can limit where one receives treatment. An HMO plan requires a PCP, or Primary Care Physician who must write a referral for a patient to receive additional treatment. Under an HMO only in-network providers will be covered , but the individual will not have to file a claim for coverage.

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    End Or Change Membership

    We want you to be happy with CareSource. If you are not, please let us know we want to make it right. However, you do have the right to change to another Georgia Families® or PeachCare for Kids® managed care plan in these cases:

    • During the first 90 days after you enroll or are sent notice of enrollment with CareSource.
    • Every 12 months from your date of enrollment
    • When you have a reason to change, such as:
    • You want to be on the same plan as a family member
    • You need care or providers that are not offered in the CareSource network
    • You got poor quality care

    Please review your Navigatemember handbook to learn more about disenrollment.

    Qualifying For Medicaid Peachcare

    Government health insurance programs Medicaid and PeachCare cover 1.4 million Georgians. But thousands more who qualify for this insurance havent signed up for it, including a large number of uninsured children.

    Medicaid, jointly financed by the federal and state governments, covers the poor and the disabled. It is based on income and family size. Most Medicaid beneficiaries are children, though it also covers many residents of nursing homes. Here are the eligibility criteria for Medicaid, and where you can get an application form to see whether you or someone else qualifies.

    Here are some guidelines to whether you or a child are eligible for Medicaid in Georgia.

    Heres information on where to apply.

    PeachCare is a program for children of parents with low-to-middle incomes. Eligibility is also based on income and family size. PeachCare for Kids provides comprehensive health care to children through the age of 18 who do not qualify for Medicaid and live in households with incomes at or below 235% of the federal poverty level. This means a family of three can earn $43,029 a year and a family of four can earn $51,818 a year. Heres information about whether your child or children qualify.

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    Peach State Health Plan

    Individualized approaches to Georgia healthcare

    Located in Atlanta, Georgia, Peach State Health Plan is a Care Management Organization, and subsidiary of Centene Corporation, that provides healthcare services through its provider network to Georgia residents on Medicaid and PeachCare for Kids®. Peach States goals include improving the quality of care for members and providing access to quality providers of all specialties.

    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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    Can Peach State Insurance Cover Addiction Care

    In an ideal setting, we would have the ability to get treatment with as minimal a cost to us as possible. While we cant guarantee you free treatment, knowing your options for treatment can cut your expenses. If you or an individual are seeking treatment in Savannah, GA and are covered by Peach State Insurance, there are a couple of things to know.

    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

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    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

    About Morehouse School Of Medicine

    Stacey Abrams says shes running for Georgia governor to broaden access to health care, effectiv…

    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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    How To Enroll

    Apply for Medical Assistance by visiting Georgia Gateway. You will find out if you or your children are eligible for Medicaid or PeachCare for Kids®.

    Want to learn more about the benefits and services CareSource members receive? We want to hear from you!

    Enroll in Georgia Families. Visit the online portal or call 1-888-GA-ENROLL . Tell them you want to choose CareSource as your health plan.

    Sign up for the plan that gives you more than basic Medicaid. Your Medicaid plan from CareSource provides extra benefits for you and your family.



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