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Know your PEBTF patients
If they need specialty services, they’ll need a referral too.

PEBTF specialty drug carve-out through CVS Specialty
PEBTF members must use the CVS Specialty care pharmacy for most specialty medications

PA Medical Assistance change to payment for health care services
As of Wednesday, Jan. 1, 2025, Geisinger Health Plan pays doulas and FQHC and RHC providers who see GHP Family members no less than the amounts listed in PA’s Medical Assistance (MA) fee schedule.
Additionally, as of Jan. 1, 2024, Geisinger Health Plan pays ambulance providers who service GHP Family members no less than the amounts listed in PA’s MA fee schedule.

Be sure to enroll your billing location with DHS
Your group practice billing location needs to be enrolled with DHS for your GHP Family and GHP Kids claims to pay appropriately.

Dental providers can reduce the risk of cancer
Learn how to talk to your GHP Family patients about the HPV vaccine.

Dental providers: Get certified to help your patients quit tobacco
You need to be registered to bill tobacco cessation counseling code D1320.

At-home screenings help close potential care gaps in 2023
We continue to send thousands of home test kits to members who are managing diabetes or at risk for chronic kidney disease or colorectal cancer.

One number for your claims and member benefits questions: 844-GHP-PROV
No more transfers, no matter your patient's plan.