Forms and resources for providers
- Behavioral Health Professional services questionnaire
- Behavioral Health Facility services questionnaire
- 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.
Interested in joining our network?
We're committed to helping you deliver the best healthcare to patients and members.
Questions? Contact us
If you have questions or need more information, contact Geisinger Health Plan.
Terms and conditions
View GHP’s terms and conditions.