Forms and resources for providers
- Behavioral Health ABA request form
- Behavioral Health Concurrent review form
- Behavioral Health ECT request form
- Behavioral Health Psychological testing request form
- Behavioral Health RTC request form
- Behavioral Health TMS request form
- DME ordering through Tomorrow Health - As of Jan. 1, 2021, all DME orders for your GHP patients should be placed through Tomorrow Health.
- DME Precertification Additional Code Form
- DME Precertification Form
- DME Authorization Change Form
- DME Re-Certification Form
- Inpatient Admission Review Form
- Inpatient Planned Procedure Precertification Form
- Inpatient Rehabilitation Precertification Form
- Inpatient Update Review Form
Medical Benefit Outpatient Drug
- Medical Drug Prior Authorization List (GHP Family-Medicaid)
- Medical Benefit Outpatient Drug Authorization Form
- Medical Drug Prior Authorization List (Commercial/Marketplace/Medicare/CHIP)
Additional forms and resources
Learn more about Geisinger Health Plan.
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Terms and conditions
View GHP’s terms and conditions.