FAQs The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. <> Before sharing sensitive or personal information, make sure youre on an official state website. Applications are accepted by DCH in March and September of each year. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 215 0 obj <>stream Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. - Posted 2/21/19, Waiver Georgia's Medicaid Waivers & Programs . 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). Empowerline is here to help. hbbd``b`$0 H8ED|V@5W8d100R + An official website of the State of Georgia. Before sharing sensitive or personal information, make sure youre on an official state website. To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). 5 0 obj Service lock Georgia Pediatric Program (GAPP) PGRU@2' :O?z)l&.x/Jd^dHp#+21qmh;wF2-8?ktrNw2n+VkmdF;NqRTJ@pd5o3i%=[/0"';y,>K T{w[J}L*VvBMB/4QV[q h ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v 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 IeH")DW_OUOx.IwE&-M-,(YzPf*w{bv@oLNr%L^>?~cd{\o\t(Kh]sv2n{s4o6;kwa~j}w}Z"/)KA4-BKA Fm=" H I2 A4$Rm0, yRLo_g^:ULoBJ u84e)\.RP~)ffje__7_WOmp/g9s__k]0oN5kl]0 OT}gq^_i^^+* Links to the public notices and draft waiver applications are listed below. R PIQ ~R(P1 Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ 5 Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 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. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. HVKo8WH(K@Q E]n=j/8jCdYi)f7B Potential CCSP Provider . Click here for help and information about bookmarks. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. We're here to help. 2023 Atlanta Regional Commission. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. Before sharing sensitive or personal information, make sure youre on an official state website. Senior Community Service Employment Program (SCSEP), About Abuse, Neglect, and Exploitation of At-Risk Adults, Georgia Alzheimer's Disease & Related Dementias State Plan, Facebook page for Division of Aging Services | Georgia Department of Human Services, Twitter page for Division of Aging Services | Georgia Department of Human Services, Linkedin page for Division of Aging Services | Georgia Department of Human Services, YouTube page for Division of Aging Services | Georgia Department of Human Services. Services must be recommended by a licensed physician or other licensed practitioner of the healing arts acting within their scope of practice under state law to prevent the progression of ASD, prolong life, and promote the physical and mental health of the individual. <> access the EDWP Draft Application click here. endobj Amendment Application for Georgias Elderly & Disabled Waiver Program 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. The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. Local, state, and federal government websites often end in .gov. endobj HP Enterprise Services (HPES) is the Fiscal Agent for 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 Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. zi>n[q@. A guide to Medicaid Waiver Programs in Georgia is now available. Sign up to get the latest information about your choice of CMS topics. How you know. If the DCH application is approved, DBHDD will notify you via an email communication of your approval as either a BH or I/DD Provider. The Program Specialist may occasionally send Banner messages through web portal for important notifications. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. CX HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! These manuals, listed below, will provide you with the definition of services and the associated standards. Medicare is a federal program. 451 0 obj <>stream How you know. An official website of the State of Georgia. What is the best number to call to get started? The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. (u0o"q Bt$ Il&0t}V%YXe-'37# Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or intermediate care facility for people with intellectual or developmental disabilities. (xC]`)q6> <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> An official website of the State of Georgia. 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. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . Call us at 770-458-8500 or contact us to learn more about obtaining personal care or skilled nursing care from one of our compassionate caregivers under the Community Care Services Program. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Options Using Resources in a Community Environment (SOURCE Amendment Application for Comprehensive Supports Waiver Program I. Applications are accepted by DCH in March and September of each year. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y 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. Learn more Renew Medicaid Benefits For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 Share sensitive information only on official, secure websites. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) To be eligible for Medicare, a . endobj For those services that require a state license, your agency must already be licensed by the DCH Division of Healthcare Facility Regulation in order to attend a CCSP Provider Consult. 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. (706) 792-7741 OR (800) 348-3503. Before sharing sensitive or personal information, make sure youre on an official state website. For questions, [email protected]. An official website of the State of Georgia. }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v ). PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. ]v&'0 pHin@ hf9^ 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. To apply for services contact a GAPP provider agency directly. A complete list of Medicaid . 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. endstream 3 0 obj You may access this form here: https://www.georgiacollaborative.com/providers/forms/. stream or Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. hmO6?}`w h! Waiver Renewal Application Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. If the DCH application is approved, DBHDD will notify you via an email communication of your approval as either a BH or I/DD Provider. sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS %%EOF Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! 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. . Online Form. This email will contain information regarding New Provider Orientation. A list of the applicable manuals is below. Visit the DCH waivers webpage at: https://dch.georgia.gov/waivers September 2017 Georgia Department of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404 . <> <> . You can also contact GMCF at www.gmcf.org. How you know. h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. J0xhcni).P~EJRt l ^E`>XBI!_~ For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Georgia is enrolling board certified behavioral analysts to provide ABS. \q~4za\c5f 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. Primary: (404) 657-5468. CCSP recipients have a monthly income between $400 and $2523 per month. The Division of Medicaid, in the Office of the Governor, will submit this proposed waiver to the Centers for Medicare and Medicaid Services (CMS) effective July 1, 2023, contingent upon . If you applied online, you can keep your information up to date in PECOS. Review the steps outlined below for the process to become an approved DBHDD provider for either Behavioral Health (BH) Services or Intellectual and Developmental Disability (I/DD) Services. Heres how you know. obtain a clear understanding of this Medicaid Waiver. A list of the applicable manuals is below. For more information on how to apply, visit Georgia's Department of Community Health website. You can also contact GMCF at www.gmcf.org . TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# i If youre unable to apply online using PECOS, you can use a paper application form. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v We are the front desk for people who need help navigating life changes and surprise obstacles in their homes, with their health, and in their communities. <> The Provider Enrollment Unit can be reached at the following: In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. An official website of the State of Georgia. (In this case, you would need to, You want to enroll as a supplier who does not dispense or furnish durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; To be eligible for NOW or COMP Medicaid Waiver services, a person must have an intellectual disability - or a closely related developmental disability, such as autism, cerebral palsy, or epilepsy - which substantially impairs intellectual or adaptive functioning. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. y(v3Dlq+d9f{yv+M1NZB)"8Sun)8KB"$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 Local, state, and federal government websites often end in .gov. State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. Medicaid provides access to free and low-cost medical care in Georgia. Contact Your MAC (PDF). HVn8}W#YDH C;y}r_a^mTN\; y~%[Bd\;iPC#_I State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. User Information PDF Reader Required Your Medicare Administrative Contractor (MAC) is specific to the region where you practice and may have additional requests for information while they process your application. The following is a list of waiver programs in Georgia. Providers offering Personal Support Services and Skilled Nursing must have their license from DCH for at least nine (9) months as of the month of application to become a CCSP provider. For more information on how to apply, visitGeorgias Department of Community Health website. bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). Per DCH policy you must wait one (1) year before submitting another application. 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. Each program offers several "core" services: Additional services are available under each program. Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. <>>> Care Waiver Program (ICWP) Send a Message. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 Provides services to medically fragile children with multiple system diagnoses. The *x(Pi Local, state, and federal government websites often end in .gov. Call Us. 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. To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). M\}v4 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. Both manuals can be found in the Medicaid web portal under Policy Manuals. Potential Provider Information . Once the LOI has been approved, you will receive an invitation to apply. ) and 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. CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. 0 u_P6l@ul %Z=*JFx])(u=h7VY``KN`"F43FT bq0I\&{U\yCv^_x]uvEaxA&ems- EgV+$10l.R!,x?U?EVusxp9VsaVrn{jq5bSTtf[#uvRet N|CNxRo~zZ,w9_/{Xoq zqow+^_ujd(bQPwWn7}Azhu[T_ X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . BIL> +x! - Posted 3/29/19. Gather What You'll Need Its important to keep your enrollment information up to date. Pursuant to 42 C.F.R. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! 7 0 obj - Updated 3/10/20. QR c>stream h]|;nO73xiKD9 &t&|4>F3 Hd""W;S|i~00T|Attq{pcE^kTuU"c`rwLfT|HLn q. % Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or ICF-MR. On July 14, 2022, the Centers for Medicare and Medicaid Services notified DCH of its approval for 1915(c) Comprehensive Supports Waiver renewal for individuals with intellectual and/or developmental disabilities. To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. Thank you for your interest in becoming a provider for DBHDD! Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. Toll Free: (877) 423-4746. See if you qualify and apply for benefits. '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y You can also check in with your MAC regarding your enrollment status. Your MAC can help you navigate the enrollment process and answer questions about your application. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal.