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Behavioral Health

WellCare provides behavioral health benefits to members enrolled in Georgia Medicaid plans. The plan provides integrated medical and behavioral health services for members. We are committed to quality service and partnership with providers to ensure members get the most of their benefits.

The following information provides a summary of our Georgia Medicaid behavioral health program.

Authorizations

Get information about authorization requirements and criteria.

Helpful Documents


A fillable form documenting behavioral health areas of specialization

Care Coordination is an approach to healthcare in which all of a patient’s needs are coordinated with the assistance of a primary point of contact

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

Effective September 15, 2018

This training course provides a high-level overview of WellCare's Behavioral Health program.

Billing Guidelines

Provider Billing Communication for Behavioral Health Providers

Provider Billing Communication for Community Service Boards (CSB) or CORE Providers

Other Helpful Information

Autism Spectrum Disorder

Effective January 1, 2018 the Department of Community Health (DCH), Medicaid Division, will provide coverage for Autism Spectrum Disorders (ASD) services for individuals under the age of 21. ASD coverage is provided for assessment and treatment services according to severity and is based on medical necessity.


https://medicaid.georgia.gov/autism-spectrum-disorder

Case and Disease Management

We offer integrated Case and Disease Management programs specifically designed to assist with behavioral health issues such as depression and diabetes. 

Continuity and Coordination of Care

WellCare's integrated care model strongly encourages communication between behavioral health providers and PCPs. To maintain continuity of care, patient safety and member well-being, this exchange is critical, especially for members with co-morbidities receiving pharmacological therapy.

 
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Last Updated On: 5/3/2021