Dear Provider, 

Please note that the Provider Attestation for Outpatient Therapy Services form has been updated on our Web site.  

Please use the link below.  Complete the attestation after you have conducted a reasonable review of the facts regarding the therapy services recommended for your member and the member does not have an existing Individualized Educational Plan (IEP) or Individualized Family Service Plan (IFSP).    

NOTE: If member does have an existing IEP or IFSP, it should be submitted, along with the request for treatment. 

http://georgia.wellcare.com/WCAssets/georgia/assets/Authorizations_GA_ProviderAttestation.pdf

Thank you,

WellCare of Georgia, Inc.