FAQs
WHAT IS THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH (DCH)?
Dedicated to providing access to affordable, quality health care, the Georgia Department of Community Health (DCH) oversees the state's Medicaid, PeachCare for Kids,® Planning for Healthy Babies and Medicaid Waiver programs.
WHAT IS PLANNING FOR HEALTHY BABIES®?
Learn more about the P4HB program on the GAMMIS website.
WHAT IS GEORGIA FAMILIES®?
Georgia Families® is a program that delivers health care services to members of Medicaid and PeachCare for Kids®. The program is a partnership between the Department of Community Health (DCH) and private care management organizations (CMOs).
WHAT IS GEORGIA MEDICAID MANAGEMENT INFORMATION SYSTEM (GAMMIS)?
GAMMIS is an enhanced claims processing system for DCH-managed programs, PeachCare for Kids® and Medicaid. Click for GAMMIS questions and inquiries or submit a provider application.
WHAT IS GAHIN?
Learn about how GaHIN will be used by Peach State Health Plan and the Department of Community Health (DCH).
HOW DO I VALIDATE GHP MEMBER ELIGIBILITY?
You can visit GAMMIS to validate a member’s eligibility.
HOW DO I REGISTER AS A PARTNER WITH THE GEORGIA REGISTRY OF IMMUNIZATION?
Visit the Georgia Immunization Registry website for more information.
HOW DO I FIND OUT ABOUT CME/CE PROGRAMS?
Select this link PRiME® Continuing Medical Education (CME) to review information regarding the CME/CE programs available to Physicians, and clinicians by PRiME Inc.
HOW DO I APPLY FOR MY NPI NUMBER?
Apply for Your NPI on the NPPES website.
HOW DO I JOIN THE NETWORK?
The Georgia Department of Community Health (DCH) will require all Medicaid providers seeking to enroll in the Peach State Health Plan Provider Network or any other CMO network to be credentialed and re-credentialed by the centralized Credentialing Verification Organization (CVO). Therefore, it will also be necessary for you to submit a credentialing application to the CVO prior to your acceptance in to our Provider Network. Click for additional information.
WHAT IS THE GEORGIA PATHWAYS TO COVERAGE PROGRAM?
The Georgia Pathways to Coverage (Pathways) is a new program that can give Georgians who are working or preparing for work and do not qualify for Medicaid the chance to get quality healthcare coverage through the Georgia Medicaid program. Pathways members are eligible for most benefits provided to other Medicaid groups, with the exception of Non-Emergency Medical Transportation (NEMT).
Georgia Pathways to Coverage members ages 19 and 20 may access NEMT as part of their benefits.
For more information about the Georgia Pathways to Coverage Program, visit the Georgia Department of Community Health website.
For member look up and provider information visit GAMMIS website.
Contact Provider Services at 1-866-874-0633 for more information.