Revisions have been made to the Peoples Health Provider Reference Guide.
Featured News
Thank YOU for Delivering Quality Care, Contributing
to 5-Star Rating
We want to take a moment to thank you, our providers! We value your partnership and continued efforts to deliver consistent, quality care to our plan members. We’re pleased to share that the Centers for Medicare & Medicaid Services has once again bestowed it’s...
Decisions About Coverage
Be assured that Peoples Health makes decisions about coverage for health care services as such: Utilization management decision-making is based only on medical necessity, appropriateness of care and services, and existence of coverage. Peoples Health does not reward...
Behavioral Health Survey for Primary Care Physicians
Optum Behavioral Health, our network behavioral health provider, is seeking your feedback about the identification, treatment and referrals of patients with behavioral health disorders who are seen in the primary care setting.
New Fitness Vendor for Peoples Health Plan Members
Effective Aug. 1, we began working with One Pass™ to offer an enhanced fitness benefit to most People Health plan members. One Pass will help administer the benefit, which allows members to access multiple fitness centers within a nationwide network, as well as online...
Delivering More Equitable Care to Diverse Populations
The changing demographics of our country create new challenges for the provision of care. We see this occurring in our local communities. Research shows that socio-cultural differences between patients and health care professionals influence many aspects of the...
Physician Initiatives Program
We’re pleased to launch key company initiatives around activities that can help facilitate optimal health outcomes for your Peoples Health patients.Primary care physicians can work with us on: Qualifying as a 4-star or higher provider for meeting certain quality...
Collaborate With Us on Physician Initiatives
We’re launching the Peoples Health 2022 physician initiatives program soon to work with primary care physicians on key company initiatives focused on activities to help facilitate optimal health outcomes for our plan members. Each initiative has a direct impact on...
Changes to Authorization Requirements
Below is a list of services no longer requiring authorization:Procedure (in outpatient locations 02, 11, 19, 22, 24)Sleep study (one every 12 months)Left heart catheterPET scanCardiac rehabilitationFine needle aspiration biopsyInsulin pump suppliesEye prosthesis...
COVID-19 Billing Reminders and Changes
Visit our COVID-19 Updates for Providers page for the latest COVID-19 public health emergency information and related billing updates. Below are highlights of the most recent changes.PHE Extension The Secretary of Health and Human Services extended the nationwide...