For GHP Family – Medical Assistance plan providers
Resources for billing, prior authorization, pharmacy and more
Questions? Call 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.
Have questions about GHP Kids or GHP Family plans?
We're offering CHIP and Medicaid orientation sessions where we'll share information about these plans, including:
- Resources to assist you with patient care
- Neighborly, our free or reduced-cost resource platform
- Importance of community-based organizations
- GHP Family annual provider education
- How to connect with GHP to address your questions and concerns
Check back for session dates and times.
Resources
- GHP Family provider orientation (04/24)
- Annual provider training presentation (05/25)
- Cultural competency training (11/20)
- Back-to-school vaccination guide
- Back-to-school vaccination guide – Español
- Blood lead level screening requirements and environmental lead investigations (05/25)
- CDC child and adolescent immunization schedule
- CDC guide to infection prevention for outpatient settings
- EPSDT guidelines (05/25)
- GHP Family PROMISe revalidation information (02/23)
- GHP Family redetermination information (02/23)
- GHP Family member handbook
Other DHS resources
Pharmacy information
- Visit the pharmacy forms page to see which medications are covered. You can also find a pharmacy and download forms for special drugs or prior authorization, too.
- Want to provide pharmacy services to GHP Family members as a retail, specialty or mail-order pharmacy? Contact Navitus.
Precertification/prior authorization information
Visit 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
View our contact sheet with important phone numbers and hours of operation.
