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MEDICAL MENTAL HEALTH PLAN (MHP) FEEFORSERVICE (FFS) PROVIDER NETWORK MANUAL ACCESS UNIT Local: (909) 3868256 Toll Free: (888) 7431478 Fax: (909) 8900353Established: July 26, 2010, Amended: May 3,

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Step 1: Open the PDF file named pshp-ga-behavioral health provider

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Step 4: Provide your behavioral health provider details, including license number and contact information

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Step 5: Fill out the sections related to your practice information, such as clinic name and address

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Who needs pdf pshp-ga-behavioral health provider?

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Any behavioral health provider in Georgia who needs to provide their information to PSHP-GA

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What is pdf pshp-ga-behavioral health provider?

pdf pshp-ga-behavioral health provider is a form used by behavioral health providers in Georgia to report certain information to Peach State Health Plan.

Who is required to file pdf pshp-ga-behavioral health provider?

All behavioral health providers in Georgia who are contracted with Peach State Health Plan are required to file pdf pshp-ga-behavioral health provider.

How to fill out pdf pshp-ga-behavioral health provider?

Behavioral health providers need to fill out all required fields on the pdf form accurately and submit it to Peach State Health Plan by the deadline.

What is the purpose of pdf pshp-ga-behavioral health provider?

The purpose of pdf pshp-ga-behavioral health provider is to ensure that Peach State Health Plan has accurate and up-to-date information about the services provided by behavioral health providers in Georgia.

What information must be reported on pdf pshp-ga-behavioral health provider?

Behavioral health providers must report information such as patient demographics, services provided, and any medications prescribed.

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