Provider : Medicaid Hospital Handbook

We recognize that, at times, the administrative requirements of managing your patients' health care can be complex. The Hospital 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. 

 Table of Contents
 Section 1: All About WellCare
 Section 2: Georgia Families
 Section 3: Hospital Responsibilities
 Section 4: Member Services
 Section 5: Credentialing
 Section 6: Claims
 Section 7: Scope of Services
 Section 8: Utilization Management
 Section 9: Patient Safety Program
 Section 10: Administrative Review and Grievances
 Section 11: Risk Management
 Section 12: Quality Improvement
 Section 13: Cultural Competency
 Section 14: Covered Services
 Section 15: Quick Reference Guide
 Section 16: Forms

Section 6: Claims HIPAA SNIP Edits Addendum