Access key forms for authorizations, claims, pharmacy and more.
Members can use this form to request a new Primary Care Provider (PCP).
A fillable form documenting behavioral health areas of specialization
Georgia Medicaid Behavioral Health Service Request Form: Routine Outpatient Services
In order to begin the program, members will need to have you complete this form.
Complete this form after the member completes the 6-month Weight Watchers program.
Instructions for large groups and IPAs with five or more providers on how to register for the secure provider portal.