Georgia Medicaid Fee-for-Service (FFS)

Complete provider enrollment to bill eligible low-income individuals and families.

Amerigroup (Georgia)

Enroll to provide coverage under Georgia Families and related programs.

CareSource (Georgia)

Register for participation in behavioral health benefits.

Peach State Health Plan

Credential with Centene-owned CMO covering Georgia Families and PeachCare for Kids®.

WellCare (Georgia)

Enroll in the managed care plan for Medicaid populations and benefits.

Traditional Medicare (Part A & Part B)

Enroll to receive reimbursement for outpatient behavioral health services.

Medicare Advantage Plans

Credential with carriers such as

Aetna Medicare Advantage

Blue Cross Blue Shield Medicare Advantage

Cigna Medicare Advantage

Humana Medicare Advantage

UnitedHealthcare Medicare Advantage

WellCare/Optum Medicare products (confirm participation by plan and county).

Anthem Blue Cross Blue Shield of Georgia

Enroll for coverage of behavioral and general health services.

UnitedHealthcare / United Behavioral Health (Optum)

Register with the national insurer for behavioral health coverage.

Aetna (including Evernorth products)

Credential for both commercial and Medicare Advantage plans.

Cigna / Cigna Behavioral Health

Enroll for robust mental health and therapy coverage.

Humana

Register for coverage of behavioral services in various plans.

Beacon Health Options / Magellan Behavioral Health

Credential with the behavioral health network as part of broader insurance.

Alliant Health Plans

Enroll for commercial and exchange plans covering various services.

Oscar Health (Marketplace)

Credential for ACA marketplace plans accepted for outpatient therapy services.

Ambetter by Peach State Health Plan

Enroll in market-exchange plans with behavioral health coverage.

TRICARE

Register for military and family health insurance covering psychological and therapy services.

Self-Funded Employer Plans / TPAs

Include enrollment for regional third-party administrators (e.g., UMR, HealthComp) covering behavioral health benefits.

Workers’ Compensation & Specialty Plans (if applicable)

Credential with payers/TPAs providing coverage for work-related or specialty cases.

Group Enrollment

Register the practice entity (EIN, taxonomy 251S00000X) with payers and state systems (e.g., GAMMIS for Medicaid).

Individual Enrollment

Credential each clinician with their individual NPI and any additional taxonomy as needed to ensure billing under their own credentials with payers.

CAQH ProView Setup & Attestation

Ensure all providers have active and attested CAQH profiles.

State Medicaid Enrollment

Use GAMMIS for Georgia Medicaid and Medicaid CMO credentialing.

Payer-Specific Applications

Submit applications to each commercial insurer and Medicare Advantage plan.

Follow-Up Tracking

Track credentialing statuses and follow up regularly until panel approvals are confirmed.

This checklist covers the necessary steps and payer information for a behavioral health provider in Georgia under taxonomy 251S00000X. Please confirm if you would like to proceed with generating the downloadable PDF file.