For GHP Family – Medical Assistance plan providers
Here are tools and information you need to provide medical care for GHP Family members.
Resources for billing, prior authorization, pharmacy and more
If you have questions, contact 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.
GHP Family provider manual
Download a copy of our complete guide for providers working with GHP Family.
Have questions about GHP Kids or GHP Family plans?
We're offering CHIP and Medicaid orientation sessions where we'll share information around these plans:
- Resources available 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
We look forward to meeting you at one of our upcoming discussions. Choose a date and time that suits your schedule and click the link below to join the Teams meeting.
- May 13, 2024 at 9:00 a.m. EST
- June 11, 2024 at 10:00 a.m. EST
- July 17, 2024 at 11:00 a.m. EST
- August 23, 2024 at 11:00 a.m. EST
- September 20, 2024 at 2:00 p.m. EST
- October 14, 2024 at 10:00 a.m. EST
- November 12, 2024 at 11:00 a.m. EST
- December 18, 2024 at 2:00 p.m. EST
Resources
- GHP Family provider orientation (04/24)
- Annual provider training presentation (01/24)
- Cultural competency training (11/20)
- Back-to-school vaccination guide
- Back-to-school vaccination guide - Español
- CDC child and adolescent immunization schedule
- CDC guide to infection prevention for outpatient settings
- GHP Family PROMISe revalidation information (02/23)
- GHP Family redetermination information (02/23)
End of PHE and eligibility redetermination resources
Other DHS resources
Pharmacy information
- View the pharmacy forms page to see which medications are covered. You can also find a pharmacy. You can 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
- View 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
- Download our contact sheet with important phone numbers and hours of operation.
GHP Family Member Handbook
Learn more about your coverage