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Overview & Resources

WellCare of Georgia partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most. We are committed to improving the quality of life of our millions of members, who often include some of our nation's most vulnerable populations.

Important Benefit Information

WellCare provides certain benefits and services specified by federal requirements for health plans administering to Medicaid members.

Medical Expense Initiative

In 2016, edits will be derived directly from the state and national Medicaid editing guidelines. This will save money on vendor fees and additional costs each year. To learn more, please review the National and State-level Medicaid rules.


Get detailed health plan information on important topics such as coverage procedures and policies.

Contains key phone numbers and information on claims, appeals and more.

Details the various tools available to help providers do business with us.

How to quickly get in touch with WellCare to get your questions answered.

How to quickly get in touch with WellCare to get your questions answered.

Find the name and phone numbers of your provider relations representative.

Find the Hospital Services Specialist assignments in this network.

PCP Appointment Scheduling Guidelines

Specialist Appointment Scheduling Guidelines

Behavioral Health Appointment Scheduling Guidelines

Instructions for large groups and IPAs with five or more providers on how to register for the secure provider portal.

Medicaid Newsletters

WellCare Provider Newsletter disease management image
June 17, 2016

Issue II 2016 Newsletter

WellCare conducts a quarterly medical record audit to measure the effectiveness of EPSDT screenings for both PeachCare for Kids (birth to 19 years of age) and Medicaid members (birth to 21 years of age).

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November 02, 2016

Issue III 2016 Newsletter

Operating in an ambulatory surgery center (ASC) setting (Place of Service 24), rather than an outpatient hospital setting (Place of Service 22), may be beneficial to patients, providers and payers.

January 14, 2016

Issue IV 2016 Newsletter

By now, your practice should be prepared for the 2016–2017 influenza season. It is important to develop an influenza vaccine purchasing plan that allows you to meet the needs of your patients.

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March 09, 2017

Issue I 2017 Provider Newsletter

The new Managed Care Medicaid contract for Georgia is set to go live July 1, 2017.


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Last Updated On: 10/7/2016