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  • Peach State Health Plan Prior Authorization

Get Peach State Health Plan Prior Authorization

SPECIALTY MEDICATION PRIOR AUTHORIZATION FORM Complete this form and send information to Peach State Health Plan, Pharmacy Department fax at 1-866-374-1579 For questions, please call 800-514-0083.

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PA criteria are published on the web at .dch.georgia.gov/pharmacy →Prior Authorization Process and Criteria. Prior authorization requests and any necessary subsequent appeal should be initiated by one of the following: calling OptumRx at 1-866-525-5827 or in writing to fax number 1-888-491-9742.

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

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.

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.

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.

Located in Atlanta, Georgia, Peach State Health Plan is a Care Management Organization that provides health care services through its provider network, to Georgia residents on Medicaid and PeachCare for Kids®.

Peach State Health Plan (Peach State) is a physician-driven, Georgia-based Medicaid managed care plan. Backed by our parent company, Centene Corporation®, Peach State draws on financial stability and national expertise to deliver local services and programs.

Peach State Health Plan offers the same benefits covered by Medicaid and PeachCare for Kids®. We also offer enhanced benefits that extend your coverage.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232