how to become a medicaid waiver provider in georgia how to become a medicaid waiver provider in georgia

@ S Georgia Medicaid Waiver (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. hbbd``b`$0 H8ED|V@5W8d100R + Applications are accepted by DCH in March and September of each year. (706) 792-7741 OR (800) 348-3503. Provides services to medically fragile children with multiple system diagnoses. 1 0 obj Official websites use .govA y(v3Dlq+d9f{yv+M1NZB)"8Sun)8KB"$LG4a6 UD(z qAZDF40n> ,r(oM!q_ sfBzQw;EM:k$j"U'-Z`V*|[qt!o]PC{53={e*H hf;skWSJRMpuEGsLs&5m`"36$t1]MUL.5FZcAjdf(Z]g=-V6F0FAh%hdf^~|T#r }*UAXZ+s_ 9Pp!~0 >stream X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . Review the steps outlined below for the process to become an approved DBHDD provider for either Behavioral Health (BH) Services or Intellectual and Developmental Disability (I/DD) Services. Each program offers several "core" services: Additional services are available under each program. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Before sharing sensitive or personal information, make sure youre on an official state website. See if you qualify and apply for benefits. % Local, state, and federal government websites often end in .gov. As an interested I/DD provider, you will find it helpful to review the Medicaid Provider Manuals for both the Comprehensive Supports Waiver Program (COMP) and the New Options Waiver (NOW) Program. endstream However, ARC does provide CCSP Provider Consults for those providers that will provide service in Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry, or Rockdale counties. to complete the registration (select the date you would like to attend in the drop-down box at the top). For more information on how to apply, visitGeorgias Department of Community Health website. - Updated 10/20/17. Potential Provider Information . Section 1135 Waiver Flexibilities Coronavirus Disease 2019 (COVID-19) Unwinding and Returning to Regular Operations after COVID-19 Medicaid and CHIP Resources CMCS Medicaid and CHIP All State Calls State Waiver and Amendment Approvals Tools and Checklists for States Other Agency Guidance Press Releases SPA and 1915 Waiver Processing For more information on how to apply, visit Georgia's Department of Community Health website. To apply for services contact a GAPP provider agency directly. 183 0 obj <> endobj Apply to become a Medicaid Waiver Provider To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). This information is located on the Georgia Medicaid Management Information System (GAMMIS) website at: https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes endobj If your agency provides one of the following services, you may wish to enroll as a Medicaid waiver provider: To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). Independent Care Waiver Program (ICWP) ICWP offers services to a limited number of adult members with physical disabilities, including persons with traumatic brain injuries (TBI). Local, state, and federal government websites often end in .gov. Primary: (404) 657-5468. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Provider agency must have the legal right to conduct business in the State of Georgia (i.e., current business license or other proof of legal authorization) b. Once the DBHDD application, and if applicable, the site visit is approved, you will be notified to complete the online application for the Department of Community Health (DCH). PDF Georgia Medicaid Provider Enrollment Guide Providers can also enroll to become a participating provider using the Enrollment Wizard . N.4q]KXc''}iR@:`9~d`'a^[JB(ZIG`+0 t}qS`^:},?6S)^W:W>ezjWI]e {Y}Z0p OGUH F`Rd#0@PvRzxDSL] %M1e2^3ba vEZes6bw>/4"|/8:K[5,K\4tvK$&K~ .g\7C%Uw=}gS=t/*/fr. Special Notice:Ending July 1, 2022, the Department of Community Health accepted public comment for a 30-day period on the New Options Waiver (NOW) and the Elderly and Disabled Waiver Program (EDWP) to renew both waiver programs. User Information - Georgia %PDF-1.5 % %PDF-1.5 - Posted 2/21/19, Waiver endobj For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Waiver Renewal Application To avoid having your Medicare billing privileges revoked, be sure to report the following changes within 30 days: You must report all other changes within 90 days. . State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 Providers | Georgia Medicaid 197 0 obj <>/Filter/FlateDecode/ID[<234E316E3F783646B907FABD30F2C407>]/Index[183 33]/Info 182 0 R/Length 77/Prev 46133/Root 184 0 R/Size 216/Type/XRef/W[1 2 1]>>stream endstream endobj startxref (u0o"q Bt$ Il&0t}V%YXe-'37# Send a Message. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) You can decide how often to receive updates. the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . or Gather What You'll Need h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, Pursuant to 42 C.F.R. Contact Your MAC (PDF). Eligibility for ICWP is based on either a nursing facility or hospital level of care for adults with severe physical disabilities or traumatic brain injury (TBI). Not sure if you have an NPI? }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v I@N( dA)H@3dD@(YC7'4 hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! Amendment Application for Comprehensive Supports Waiver Program 5 0 obj How you know. Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. An official website of the State of Georgia. <> The Provider Enrollment Unit can be reached at the following: In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. Complete and submit the applicable DBHDD New Provider Application, located at the following link: If required, when the DBHDD application review has been completed , a site visit will be conducted by the appropriate Regional Field Office. Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Call Us. ]v&'0 pHin@ hf9^ An official website of the State of Georgia. Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. Secure .gov websites use HTTPSA ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. ( Medicare Program; Medicare Disproportionate Share Hospital (DSH U%:I("r-*gQF+'W8>wT, HjF Ready to become a Medicare provider or supplier? Links to the public notices and draft waiver applications are listed below. 4 0 obj Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If youre enrolling a, Youre a health care provider who wants to bill Medicare for your services and, You dont want to bill Medicare for your services, but you do want enroll in Medicare, You wish to provide services to beneficiaries but do not want to bill Medicare for your services. 3 0 obj An official website of the State of Georgia. Applications are accepted by DCH in March and September of each year. FAQs Medicaid Waiver Programs | Georgia.gov )aa:bdF:. A guide to Medicaid Waiver Programs in Georgia is now available. Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, GA Partial Approval Letter (HCBS Initial Spending Plan), Medicaid Sign-Up Portal (Georgia Gateway). Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. Empowerline is here to help. As an interested BH provider, you will find it helpful to review the Medicaid Provider Manual for Behavioral Health Services on the GAMMIS website at the following link: Community Behavioral Health Rehabilitation Services , Facebook page for Georgia Department of Behavioral Health and Developmental Disabilities, Twitter page for Georgia Department of Behavioral Health and Developmental Disabilities, Linkedin page for Georgia Department of Behavioral Health and Developmental Disabilities, Addictive Diseases Training Announcements, Cultural and Linguistic Competence Training Series: Diversity Works, Developmental Disabilities Training Announcements, Enterprise Compliance & Background Investigations FAQs. xB++EG?^5C5_L(jXbgmm $oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$oM$uuM4Vet,[:ir[=CV.)iYu\SR[p"Z]ZIvir&1{Nd.9m]ZIvir&1{Nd.9m]ZIvir&1{N wC9.!lU%7]s!9:~aRM(pf,}lUd#1aN6wSF7p2f)LLe!5l|='+H$ef access the NOW Draft Application click here. Apply for DD Services | Georgia Department of Behavioral Health and To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. Found in the Elderly & Disabled Waiver Program, the CCSP and SOURCE Programs serve frail elderly and disabled Georgians otherwise eligible under a nursing facility level of care through the provision of case management for service coordination, adult daycare, alternative living services, personal care, home-delivered meals, and respite care for family caregivers. Once the LOI has been approved, you will receive an invitation to apply. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 All new providers are required to submit a completed DDA Medicaid Waiver Provider Application and submit the required supporting documentation in the form of policies and procedures, licensure and/or certification that demonstrates the provider agency's compliance with the specific rules for each of the waiver services the provider agency is Learn more Renew Medicaid Benefits bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). Waiver 3 . Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. To be eligible for NOW or COMP Medicaid Waiver services, a person must have an intellectual disability - or a closely related developmental disability, such as autism, cerebral palsy, or epilepsy - which substantially impairs intellectual or adaptive functioning. PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! zi>n[q@. BIL> +x! Georgia Provider - Amerigroup Before sharing sensitive or personal information, make sure youre on an official state website. - Posted 02/16/21, New Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. - Updated 3/10/20. HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. Amendment Application for Georgias Elderly & Disabled Waiver Program The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. stream Independent HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. To qualify, you must be eligible for Medicaid and: Be at least 65 years old (or, if younger than 65, meet certain disability requirements), Be impaired by physical limitations, Choose to receive services in your home or community instead of a nursing home, and Participate in only one waiver program at a time. sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS Enroll using PECOS,i the online Medicare enrollment system. <> Many state waivers also offer a single reimbursement of between $40 - $200 intended to cover any installation or startup fees associated with a PERS service. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Enrollment Assistance & Contacts, Medicare Enrollment Guide for Institutional Providers, MLN Enrollment Webcast Presentation: MultiFactor Authentication for I&A System (PDF), MLN Enrollment Webcast Transcript: Multi-Factor Authentication for I&A System (PDF), Medicare Enrollment Contractor Contact List (PDF), Tips to Facilitate the Medicare Enrollment Process (PDF), Medicare Provider-Supplier Enrollment National Education Products (PDF), National Provider Identifier Standard (NPI), MLN Enrollment Webcast Audio Transcript: Multi-Factor Authentication for I&A System, Annual Medicare Participation Announcement, Youre an institutional provider. Aging and Independence Services: a Q&A with Becky Kurtz, Metro Atlanta/DeKalb County Digital Connectivity Listening Session, Personal Support Serviceassistance with bathing, light housekeeping, laundry, shopping, meal preparation, and respite (caregiver relief), Alternative Living Servicesmeals, personal care, and supervision in an approved personal care home. An official website of the State of Georgia. (In this case, you would need to, You want to enroll as a supplier who does not dispense or furnish durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). The Community Care Services Program (CCSP) is a Medicaid-funded program that serves individuals with limited income and resources who have the kinds of needs that would qualify them for nursing home care. Local, state, and federal government websites often end in .gov. PIQ ~R(P1 Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) Waiver Programs | Georgia Medicaid (xC]`)q6> We're here to help. Options Using Resources in a Community Environment (SOURCE J0xhcni).P~EJRt l ^E`>XBI!_~ HCBS Waiver Provider Application Process | dds I. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. A list of the applicable manuals is below. stream - Posted 3/29/19. C;y}r_a^mTN\; y~%[Bd\;iPC#_I You can also contact GMCF at www.gmcf.org. A list of the applicable manuals is below. Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. p?.e^Tv+2,[P3-Nj` @Fy The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered ). Care Services Program (CCSP For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. Your MAC can help you navigate the enrollment process and answer questions about your application. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP), Options Using Resources in a Community Environment (SOURCE, Amendment Application for Georgias Elderly & Disabled Waiver Program, Amendment Application for Comprehensive Supports Waiver Program, Department of Behavioral Health and Developmental DisabilitiesServices, Georgia Aging and Disability Resource Connections, GAPP provider manual on the GAMMIS website, Third Party Liability Services Procurement, Childrens Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Health Insurance Premium Payment Program (HIPP), 2020 Georgia Families 360 Monitoring and Oversight Committee, 2019 Georgia Families 360 Monitoring and Oversight Committee, Georgia Medicaid Electronic Visit Verification, PSS / CLS / Claims Implementation Archive (2018 2021), Georgia Money Follows The Person (Ga MFP), Infant and Early Childhood Behavioral Health Services, Medicaid Enterprise System Transformation (MEST), Non-Emergency Medical Transportation FAQs, Non-Emergency Medical Transportation (NEMT) Procurement, Planning for Healthy Babies Program Overview, Planning For Healthy Babies Annual Reporting, Planning For Healthy Babies Semi-Annual Reporting, Planning For Healthy Babies Quarterly Reporting, Planning For Healthy Babies Summative Evaluation Reporting, Right from the Start Medical Assistance Group, service coordination (help with managing care needs and services), personal support (assistance with daily living activities, i.e. The Medicaid program canand does (through Medicaid DSH payments)subsidize the treatment of low-income, uninsured patients without making those individuals eligible for "medical assistance," as that phrase is used in the statute. Each state has its own waivers and each waiver, its own policy. %%EOF ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. As an interested BH provider, you will find it helpful to review the Medicaid Provider Manual for Behavioral Health Services on the GAMMIS website at the following link:https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. lock For more information on how to apply, visit, Georgias Department of Community Health website, ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. You can also contact GMCF at www.gmcf.org . You may view the appropriate policies, and their attachments, by clicking on the links below: Both interested I/DD and BH providers are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website:https://dbhdd.georgia.gov/community-provider-manuals. access the EDWP Draft Application click here. The Program Specialist may occasionally send Banner messages through web portal for important notifications. lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ Before sharing sensitive or personal information, make sure youre on an official state website. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. ) - Updated 3/10/20. endstream endobj 187 0 obj <>stream . For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. All Contacts. Potential CCSP Provider Pathway - Georgia ) Georgia is enrolling board certified behavioral analysts to provide ABS. Its important to keep your enrollment information up to date. You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. If you applied online, you can keep your information up to date in PECOS. The CCSP Provider Consult is not a general information session. An official website of the State of Georgia. If you applied using a paper application, youll need to resubmit your form to update information. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . To sign up for a CCSP Provider Consult, please visit ourEventbrite pageto complete the registration (select the date you would like to attend in the drop-down box at the top). The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. Autism Spectrum Disorder | Georgia Medicaid 0 M\}v4 https:// A guide to Medicaid Waiver Programs in Georgia is now available. R Click here for help and information about bookmarks. Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Enrollment - Georgia How you know. A complete list of Medicaid . To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. lock The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. Medicaid SOURCE Waiver - Receive Homecare or Skilled Nursing Care at No You can apply for an NPI on the NPPES website. The Georgia Medicaid Management Information System (GAMMIS) serves as the primary web portal for Medicaid, PeachCare for Kids and all related waiver programs administered by the Department of Community Health's Medical Assistance Plans Division. See, for example, Adena Regional Medical Center v. YouTube page for Georgia Medicaid; How can we help? An official website of the State of Georgia. +V:NvRXA1/Nari4V Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. access the EDWP Public Notice click here. Medicaid. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Become a Medicare Provider or Supplier | CMS The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. Services are provided in their homes and communities and includenursing services to address the need for skilled professional services and personal care support services that assist with activities of daily living. \q~4za\c5f Become a Medicaid provider. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. i If youre unable to apply online using PECOS, you can use a paper application form. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates.