Join Our Network | Ambetter from Peach State Health Plan

 

Join Our Network

Network Participation Request

Thank you for your interest in joining our network. Completion of the below application form indicates your interest only. Your inquiry will be evaluated based on the needs our membership in your practice area. You will be contacted by our Network Development and Contracting Team regarding your request. Please allow 2-3 business days for our evaluation and response.

To join our Ambetter Behavioral Health Network, please complete the Behavioral Health Join our Network form

Required fields are marked with an asterisk (*)

Agreement*
Agreement*