For GHP Family – Medicaid providers

Resources for billing, prior authorization, pharmacy and more

If you have questions, contact your Geisinger Health Plan provider relations representative at 800-876-5357.

Provider service center
You can electronically transact with GHP Family through NaviNet, a real-time healthcare communications network. If you’re new to NaviNet, sign up for access.

GHP Family provider manual
Download a copy of our complete guide for providers working with GHP Family.

GHP Family news and resources

• Annual provider training presentation (07/22)
• GHP Family provider orientation (11/20)
• Cultural competency training (11/20)
• Covered services (11/20)
• Blood lead level screening requirements (3/21)
• Back-to-school vaccination guide
• Back-to-school vaccination guide - Español
• CDC child and adolescent immunization schedule
• CDC guide to infection prevention for outpatient settings
• Vaccine for children (VFC) program guide (7/20)
• Nutritional counseling guide (7/20)
• WIC program guide (7/20)

GHP Family billing guidelines

• Right from the start/Healthy Beginnings guidelines (7/20)
• EPSDT guidelines (3/21)
• Vision guidelines (11/20)

Pharmacy information 

• View the Pharmacy forms page to find out which medications are covered, locate a pharmacy and download forms for special drugs or prior authorization.
• If you are interested in providing pharmacy services to GHP Family members as a retail, specialty or mail-order pharmacy, please contact PerformRx

Precertification/prior authorization information

• View the Forms and resources for providers page to access prior authorization lists for outpatient services and medical benefit outpatient drugs, authorization forms and more.

GHP Family Pay-for-Quality Program

• This incentive program encourages and promotes a focus on exceeding all quality of care standards for our GHP Family members.

Contacts

• Download our contact sheet with important phone numbers and hours of operation.