1. Free benefits check
We verify your Peach State plan, prior authorization requirements, deductible, and expected out-of-pocket - before you commit. No cost, no obligation.
Insurance · Peach State
Peach State Health Plan ABA therapy coverage in Georgia.
Peach State Health Plan, a Centene subsidiary, is the largest of Georgia's three Medicaid CMOs with about 700,000 members across Georgia Families and PeachCare for Kids. GRBS is in-network and accepting new Peach State families.
- In-networkGRBS accepts Peach State in Georgia
- 1-800-704-1484Peach State member services
- Freebenefits verification before you commit
In-network · Peach State
In-network
Major carriers accepted
What families need to know
Peach State ABA coverage at a glance.
Below is the current state of Peach State ABA coverage in Georgia. GRBS runs a full benefits check before you start so you know exactly what to expect.
- In-network for Peach State Georgia Families ABA benefits, including PeachCare for Kids members.
- Georgia Medicaid covers medically necessary ABA for members under 21 through EPSDT; prior authorization required.
- Largest of the three current CMOs, with about 700,000 members.
- Not awarded a new contract in the 2024 procurement; current contracts extended through June 30, 2027 - GRBS helps families plan continuity of care through the transition.
Starting ABA with Peach State
Four steps from first call to first session.
2. Records collection
We collect your child's diagnostic evaluation and any prior treatment plans. If you don't yet have a diagnosis, we can refer you to trusted Georgia evaluators.
3. Assessment & treatment plan
Our BCBA runs an initial functional assessment (typically 1-3 sessions) and writes a treatment plan tailored to your child's goals.
4. Prior auth & start
We submit the treatment plan to Peach State for prior authorization. Once approved (typically 1-3 weeks), regular ABA sessions begin.
Peach State · FAQ
Peach State coverage questions.
Is GRBS accepting new Peach State families?
Yes. GRBS is in-network with Peach State Health Plan and accepting new Georgia Families and PeachCare for Kids members across metro Atlanta and Northeast Georgia.
Does Peach State cover ABA therapy in Georgia?
Yes. Georgia Medicaid covers medically necessary ABA for members under 21 through EPSDT, and Peach State administers those benefits for its Georgia Families members. An autism spectrum diagnosis, medical necessity documentation, and prior authorization are required.
Does Peach State cover PeachCare for Kids members?
Yes. PeachCare for Kids members are served through the Georgia Families CMOs, including Peach State. ABA coverage follows the same EPSDT medical necessity rules as Georgia Medicaid. Full details on our Georgia Medicaid page.
What happens to Peach State in the 2027 transition?
Peach State was not awarded a new contract in the December 2024 procurement. Current CMO contracts have been extended through June 30, 2027, and members would be re-enrolled with a new CMO before the transition with continuity-of-care protections. GRBS accepts every current CMO, so most of our families will not experience a gap in care.
How do I switch CMOs?
Call the GA Families enrollment broker at 1-888-GA-Enroll (1-888-423-6765). Open enrollment windows apply. If continuity of care with GRBS is your priority, we accept all three current CMOs - Amerigroup, CareSource, Peach State.
Ready to verify your Peach State benefits?
Same-day callback. We handle the whole process - verification, prior authorization, treatment plan, first session - while you focus on your family.