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Access key forms for authorizations, claims, pharmacy and more.

Administrative Review

Members can use this form to request a new Primary Care Provider (PCP).


Behavioral Health

A fillable form documenting behavioral health areas of specialization

Georgia Medicaid Behavioral Health Service Request Form: Routine Outpatient Services

Billing Guidelines



Cultural Competency

How To Guides

Member 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.

Pharmacy Services


Website Assistance

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


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Last Updated On: 5/6/2016