Provider information

The provider manual includes information for both the fully insured and the self-funded programs. You will be asked to sign on to access the Georgia provider manual.

         Georgia Provider Manual

Provider Code of Conduct

The Code of Conduct highlights some provisions in the provider agreement as well as the minimum standards by which providers are expected to conduct themselves when serving Kaiser Permanente members and patients.

The Southeast Permanente Medical Group (TSPMG) Clinical Practice and Prevention Guidelines

Guidelines are evidence-based and designed to clarify the content of appropriate, high quality, measurable, cost-effective care and to assist primary care practitioner decision-making regarding specific clinical conditions. They are not intended to replace clinical judgment in individual cases and should not be viewed as absolute standards of appropriate care. Each guideline is reviewed for its adherence to the policies of the National Guideline Directors Common Methodology on the development of evidence-based guidelines. Guidelines developed using an “evidence-based methodology” involves a systematic literature search, critical appraisal of the research design, statistical results of relevant studies, and grading of the sufficiency (quantity, quality, consistency and relevancy) of the evidence for drawing conclusions.

Practice Resources are consensus-based and support primary care practitioners in caring for patients with selected conditions for which we have no formal clinical practice guideline. These include referral criteria and treatment recommendations and are developed by a panel of practitioners using personal knowledge, experience, judgment, and scientific evidence. The panel may review literature, discuss advantages and disadvantages of different interventions, and reach consensus about recommended practice. Practice Resources do not include explicit, formal analysis of the evidence, outcomes, or patient preferences. Practice resources are developed internally by TSPMG practitioners and/or by the NGD nationally.

Guidelines and practice resources are reviewed at least every 24 months. Because clinical information changes rapidly revisions may be communicated in the interim.

Kaiser Permanente’s Physician Triage and Support Program (PTSP) assists affiliated providers who care for our members in community hospitals and Emergency Departments. PTSP’s goal is simple: to promote continuity and coordination of care for our members who require acute evaluation and treatment.

To reach PTSP, call 404-364-7243. Staff is available Monday through Friday from 8 a.m. to 6:30 p.m. ET and the on-call hospitalist is available 24/7.

PTSP is staffed by knowledgeable hospitalists and internists who can discuss patient care options and share vital outpatient clinical information through KP HealthConnect, our electronic medical record system. PTSP can also provide placement assistance for patients needing hospitalization and facilitate outpatient follow-up care (including specialty care).

Emergency Room providers: Call PTSP for any member evaluated in your emergency department who requires admission or care coordination.

• PTSP reviews the patient’s electronic medical record and assists practitioners in making an appropriate disposition  
• PTSP can fax critical information to the emergency department 
• If a patient is stable for transfer to a Kaiser Permanente core hospital (and transfer is appropriate), PTSP locates a bed, discusses the case with the  accepting physician and arranges ambulance transport through AMR (our contracted vendor); PTSP also facilitates transfers for patients requiring  specialty care not available at core hospitals
• PTSP arranges urgent emergency department follow-up care and messages the member’s primary care or specialty physician

Please fax emergency department notes to 866-401-2506 so they can be scanned into the member’s medical record. Include date of birth, health record number, and primary care practitioner, if known.

Affiliated community providers: PTSP can provide the following services:

• Consult on patient care options
• Provide clinical information from the member’s electronic medical record (HealthConnect)
• Arrange for ambulance transport
• Facilitate follow-up care, including specialty care

All practitioners applying for initial or continuing participation with us are required to complete an application with attestation that the information provided is accurate. We will access your web-based application and attestation via CAQH ProView™ if you are currently enrolled in this web-based program. If you are not enrolled in CAQH ProView™, the Kaiser Permanente Credentialing Department will continue to request paper copy applications. Reminder letters requesting re-credentialing applications will continue to be mailed 3 months prior to credentialing expiration. However, we encourage you to take advantage of the secure web-based CAQH ProView™ program to eliminate the time-consuming paper copy application process.

You can search for physicians, departments, facilities, affiliated facilities, urgent care locations, and more. Just select your area and choose the way you prefer to search.

Kaiser Permanente’s Clinical Library provides clinical reference materials for providers including: clinical practice guidelines, drug information, member education, textbooks, journal references and much more.

To access the Kaiser Permanente Georgia Guidelines, sign on to Clinical Library.

You will need a NUID (National User ID) to access Clinical Library. If you are not signed up for a NUID, please click here to register for access.