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Additional pertinent information may also be submitted* MEMEBER Last Name MEMBER First Name MEMBER ID number MEMBER Date of Birth -- PRESCRIBER Last Name PRESCRIBER First Name PRESCRIBER NPI PRESCRIBER Phone PRESCRIBER Fax PRESCRIBER Address 1 Member Diagnosis 3 If applicable indicate why a commercially available product is not acceptable and include the specific medical need for the compound list previous failed therapies if known* 4 Ingredient Name 8 Pharmacy Name 10 Pharmacy Phone 5 11 digit ...

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What are the different types of Medicaid in Georgia?

Adults Health Insurance Premium Payment Program (HIPP) Georgia Medicaid members who are employed may be eligible for health insurance premium assistance through a Medicaid program called the Health Insurance Premium Payment Program (HIPP). Planning for Healthy Babies® (P4HB)

Does Medicaid cover dental for adults in Georgia?

Both adults and children who are enrolled in Georgia Medicaid or PeachCare for Kids® are eligible for dental services.

What is my Georgia Medicaid provider number?

Contact Georgia Medicaid Peachcare for Kids®877-427-3224Member Services866-211-0950Provider Services800-766-4456Customer Service/Claims Resolution404-657-5468Medical Policy404-651-96062 more rows

What is GA Medicaid called?

Peach State Health Plan (Peach State) is a physician-driven, Georgia-based Medicaid managed care plan.

How do I check my Medicaid status in GA?

How can we help? Call Us. Primary: (404) 657-5468. Toll Free: (877) 423-4746. Email Us. Online Form.

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How do I get a Medicaid provider number in Georgia?

The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. Call the local number (770) 325-9600. Call the toll-free number (800) 766-4456.

How do I become a Medicaid provider in GA?

Go to the Georgia Web Portal homepage at www.mmis.georgia.gov and click on the Provider Enrollment/Enrollment Wizard link. Scroll down to the bottom left side of the page and click on Provider Enrollment Application. Then click on the continue application button and enter the ATN and Business or Last Name.

How can I get my Georgia Medicaid number?

To apply for Medicaid, please apply online https://gateway.ga.gov or in person at your local DFCS county office or or request an application by calling 877-423-4746....Contact Georgia Medicaid. Peachcare for Kids®877-427-3224Hospital Services404-651-96065 more rows

What is GA Medicaid called?

Peach State Health Plan (Peach State) is a physician-driven, Georgia-based Medicaid managed care plan.

How do I check the status of my Medicaid application in Georgia?

You may check the status of your application by going online at www.gateway.ga.gov or calling 877-423-4746.

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How do I get a Medicaid provider number in Georgia?

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