Manuals, Forms and Resources
Medicaid Resources
Manuals
- Quick Reference Guide HEDIS 2022 (PDF)
- Peach State Health Plan Provider Manual (PDF)
- DCH Provider Manual
- Federally Qualified Health Center Manual
- Rural Health Clinic Services Manual
Appeals
Claims
Medical Management Documents
- Quarter 2 2023 SB80 Report (PDF)
- Quarter 1 2023 SB80 Report (PDF)
- Quarter 4 2022 SB80 Report (PDF)
- Quarter 3 2022 SB80 Report (PDF)
- Quarter 2 2022 SB80 Report (PDF)
- Quarter 1 2022 SB80 Report (PDF)
- Case Management Fax Form (PDF)
- Provider Notification Form – Diabetes (Diabetes/Chronic Kidney Disease Referral Form) (PDF)
- Therapy Services Attestation (PDF)
- Member Data Change Form (PDF)
- Notification of Pregnancy Instructions (PDF)
- Provider Notification of Pregnancy Form (PDF)
- Social Determinants of Health Provider Referral Form
NOTE: All Pregnancy Notifications must be submitted via the GAMMIS portal.
Please submit notifications using the standardized Pregnancy form located on GAMMIS Georgia Medicaid Management Information System (GAMMIS)
Forms
Member Services
Continuity of Care Program
Important Notices
Other
Billing/Reimbursement
- Billing Reminder: Tobacco Cessation Therapy Services (PDF)
- Billing Reminder: Front End Paper Claim Processing
- Billing Reminder: Immediate Postpartum LAR (PDF)
- Georgia Ordering, Prescribing or Referring (OPR) Provider Notice (PDF)
- CPT Category II Codes Guide (PDF)
- Emergency Ambulance Services Billing Reminder (PDF)
- Place of Service Codes (PDF)
- In Office Lab Testing List (PDF)
Reimbursement Policies
Ambetter Manuals & Forms
For Ambetter information, please visit our Ambetter website
Allwell Provider Resources
For Allwell Provider information, please visit our Allwell Provider Resources page.
How to Search Your Handbooks and Directories
- Open the handbook.
- Press Ctrl F to open the search tool.
- Type the word you are looking for into the text box.
- Press enter.