Click the links below to access provider resources such as online claim transaction guides, manuals/handbooks and newsletters. These resources will assist you in working with WellCare of Georgia. 

• Claims Updates
  This page provides updates on WellCare's claims processes, ensuring that provider claims are handled efficiently.
   
• Clinical Coverage Guidelines
  Clinical Coverage Guidelines (CCG) are evidence-based documents detailing the medical necessity of given procedures or technologies. The guidelines set consistent criteria for the coverage of a procedure or technology, leading to greater consistency and efficiency in clinical decision making.
   
• Forms & Documents
  This section is a repository of forms and documents to be used by all providers and institutions when managing care for our members.
   
• Fraud & Abuse
  The link provides access for reporting suspected fraudulent and abusive practices by providers and members of the Medicaid and PeachCare for Kids programs. Learn how to recognize possible fraud and program abuse and report suspicious activities. For your privacy you may remain anonymous.
   
• Hospital Services Handbook
  The Hospital Services Handbook is a resource for institutions that outlines WellCare guidelines on health plan coverage procedures, policies and other information related to the provision of health care services to our members. This document should be used simultaneously with the Quick Reference Guide and the online tools available through the secured area of this Web site.
   
• Pharmacy Services
  Click the link to receive information about our available Pharmacy Services, and view the latest Preferred Drug List.
   
• Provider Handbook
  The Provider Handbook is a resource for physicians with guidelines on health plan coverage procedures, policies and other information related to the provision of health care services to our members. This document should be used simultaneously with the Quick Reference Guide and the online tools available through the secured area of our Web site.
   
• Provider Quick Reference Guide
  The Quick Reference Guide is a resource that contains WellCare contact information and authorization guidelines. Please refer to the version on this site to ensure you are using the most current information.
   
• Provider Job Aids
  Job aids are step-by-step work instructions on how to perform daily tasks with WellCare.
   
• Provider Newsletters
  Georgia Provider Newsletter - Summer 2009
  Georgia Provider Newsletter - Spring 2009
  Georgia Provider Newsletter - Winter 2008
  Georgia Provider Newsletter - Fall 2008
  Georgia Provider Newsletter - Summer 2008
  Georgia Provider Newsletter - Spring 2008
  Georgia Provider Newsletter - Winter 2007
  Georgia Provider Newsletter - Fall 2007
  Georgia Provider Newsletter - Summer 2007
  Georgia Provider Newsletter - Spring 2007