Provider : Medicaid Provider Manual

We recognize that, at times, the administrative requirements of managing your patients' health care can be complex. The Provider Handbook is a source of answers to questions you may have about health plan coverage procedures, policies and other facts related to your provision of health care services to our members. 

 Physician Handbook Preface
 Table of contents
 Section 1: All About WellCare
 Section 2: Georgia Families
 Section 3: Provider Responsibilities
 Section 4: Member Services
 Section 5: Credentialing
 Section 6: Claims
 Section 7: Utilization Management and Care Coordination
 Section 8: Case Management
 Section 9: Pharmacy
 Section 10: Administrative Review and Grievances
 Section 11: Risk Management
 Section 12: Quality Improvement
 Section 13: Medical Records
 Section 14: Cultural Competency
 Section 15: Quick Reference Guide
 No Authorization Required CPT Code List
Section 16: Provider Education Materials
Section 17: Member Education Materials
Section 18: EPSDT Guidelines
Section 19: Medical Record Tools
Section 20: Forms

Section 6: Claims HIPAA SNIP Edits Addendum