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  • Pregnancy Notification Form - Integral Quality Care

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Pregnancy Notification Form To: Fax: Phone: Perinatal Care Management 877-884-8890 866-258-4326 option 2 then option 8 Enrollee full Name: Enrollee DOB: Enrollee Medicaid ID: Enrollee Phone Number:.

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Initiate a Pregancy Notification Form Go to the GA Web Portal at .mmis.georgia.gov. Login with assigned User ID and Password. On the portal secure home page, click the Prior Authorization tab. Click Submit/View (or select Provider Workspace to open the workspace and then click 'Enter a New Authorization Request'.

Pregnant women who qualify are entitled to the full-range of Medicaid covered services including physicians' visits, prescription medicines, and inpatient and outpatient hospital services. The program uses 220 percent of the federal poverty level as the ceiling for eligibility for pregnant women.

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.

A Notification of Pregnancy (NOP) transaction helps identify risk factors in the earliest stages of pregnancy for managed care members.

Housing/Utility Assistance Eligible members can receive up to $250 annually. The Home Allowance benefit can be used for rent assistance with rental deposit or application fee or utilities. Qualification Requirements: All active Peach State members ages 21 and older.

Pregnancy & Newborn Services. Start Smart for Your Baby (Start Smart) is our special program for women who are pregnant and for those moms who just had a baby.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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