stream Become a Medicaid provider. endstream endobj 188 0 obj <>stream endstream endobj 184 0 obj <>/Metadata 13 0 R/Outlines 36 0 R/PageLayout/OneColumn/Pages 181 0 R/StructTreeRoot 43 0 R/Type/Catalog>> endobj 185 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 186 0 obj <>stream The waiver has been approved for a five-year period effective April 1, 2021. .gov FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes 5 0 obj The Program Specialist may occasionally send Banner messages through web portal for important notifications. i If youre unable to apply online using PECOS, you can use a paper application form. We can help connect you to privately and publicly funded resources from more than 26,000 community-based providers. Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. 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_ Applications are accepted by DCH in March and September of each year. You can apply for an NPI on the NPPES website. An official website of the State of Georgia. Local, state, and federal government websites often end in .gov. As a general rule of thumb, in 2022, senior applicants for a HCBS Waiver are limited to $2,523 / month in income and $2,000 in assets. 197 0 obj <>/Filter/FlateDecode/ID[<234E316E3F783646B907FABD30F2C407>]/Index[183 33]/Info 182 0 R/Length 77/Prev 46133/Root 184 0 R/Size 216/Type/XRef/W[1 2 1]>>stream Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. ]v&'0 pHin@ hf9^ N.4q]KXc''}iR@:`9~d`'a^[JB(ZIG`+0 t}qS`^:},?6S)^W:W>ezjWI]e {Y}Z0p OGUH F`Rd#0@PvRzxDSL] %M1e2^3ba vEZes6bw>/4"|/8:K[5,K\4tvK$&K~ .g\7C%Uw=}gS=t/*/fr. - Updated 10/20/17. 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. Providers | Georgia Department of Community Health Intellectual & Developmental Disabilities, Applications for New & Existing Providers, Improving Health Outcomes Initiative Collaborative Learning Center, How to Report a Concern or Complaint about the Quality of Care or Safety. Thank you for your interest in becoming a provider for DBHDD! You will submit either the I/DD or BH Agency Provider Letter of Intent (LOI) or I/DD Individual Provider LOI during the applicable open enrollment period. An official website of the State of Georgia. - Updated 3/10/20. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. 1 0 obj COMP A guide to Medicaid Waiver Programs in Georgia is now available. 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. Care Waiver Program (ICWP) M\}v4 Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . 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 Before sharing sensitive or personal information, make sure youre on an official state website. All Rights Reserved. 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. website belongs to an official government organization in the United States. Not sure if you have an NPI? . Amendment Application for Comprehensive Supports Waiver Program Potential CCSP Provider . 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. 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. This guide will help you enroll in three steps. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. An official website of the State of Georgia. An official website of the State of Georgia. \q~4za\c5f - Posted 2/21/19, Waiver R For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 endobj 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). 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. p?.e^Tv+2,[P3-Nj` @Fy (u0o"q Bt$ Il&0t}V%YXe-'37# Autism Spectrum Disorder | Georgia Medicaid 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). You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. Online Form. For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. Before sharing sensitive or personal information, make sure you're on an official state website. Click here for help and information about bookmarks. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. An official website of the State of Georgia. How you know. Medicaid provides access to free and low-cost medical care in Georgia. Pursuant to 42 C.F.R. 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. 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. https:// 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. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). Share sensitive information only on official, secure websites. "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r >oT->+ L}$\ZSypts [}s[pYI._.jJ&*40)|[cPU|9V&=pC~7kj~xcR1>5>)`lB3{jgj|zu_3\O5c\j;2Ft(|5UdC /w.s}7U1242LV.2eH2*M[w+uFA:x7FX8ztjf#;R_kUMFUu2gKa7{=/9v@a*Uj3^ T 9srz>n.QI>dY294? ) - Updated 3/10/20. The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. 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. You can also contact GMCF at www.gmcf.org. A guide to Medicaid Waiver Programs in Georgia is now available. What is the best number to call to get started? 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 . For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. to complete the registration (select the date you would like to attend in the drop-down box at the top). <> Enroll using PECOS,i the online Medicare enrollment system. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. Use this guide if any of the following apply: You're a health care provider who wants to bill Medicare for your services and also have the ability to order and certify. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. 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. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Local, state, and federal government websites often end in .gov. HVKo8WH(K@Q E]n=j/8jCdYi)f7B Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. Medicare is a federal program. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# The CCSP Provider Consult is not a general information session. or Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. lock x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o X`g(_;6y~c|Y'CUzWcJ`n?jLuQ N9|7A~B (|8dmc?w-wb_Aba THUa^D>4?:'jg/p|,cgi,mKW\I$S~YNwG5.L-gj9~Q ;0F02 q ?RhA+v5\*k8kqiFyAJ4$g9?H~w(;) Ck{r~i~Y1wyU1X.M C Waiver Renewal Application <>>> access the NOW Draft Application click here. To be eligible for Medicare, a . The 12 ADRC offices are identified by counties served. Gather What You'll Need Medicaid. . How you know. For questions, contactccsp.messages@dch.ga.gov. <> Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\ U3:dw!#hYD8C"L "DFV%2*UG`p=FQ1jf*DW!ru^=W1^Ipl7 .(6D!,M|YK` The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. User Information - Georgia How do I know if I am in the right place? Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 hmO6?}`w h! Some of those are described in this guide and include How you know. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. What is a Medicaid waiver program? - Medical News Today Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 For details about this waiver renewal, To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). zoX-8IHH=mhX&Z4&kjI[%w$WTdsalTLbBaCVnPm+E:YYel dadBwi,0>ldbuSUqQ47Z"ZWjU\ES-juSn*TY=#R:EGMs@sxNH.&trZX/fb-SS\i:}%{qjCm"nSkHl$,?z-#=k?zGTHr|&aiR>Z`oNI}c^0jv+Z-+qmN4kGTni@y3zd O'lg[(6+mOK>>a?I/3?.~#cX9y|/I. Waiver Programs | Georgia Medicaid %PDF-1.5 % Both manuals can be found in the Medicaid web portal under Policy Manuals. ). Email Us. Local, state, and federal government websites often end in .gov. Its important to keep your enrollment information up to date. Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. ]O'C 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. 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). 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 An official website of the United States government Heres how you know. Local, state, and federal government websites often end in .gov. Georgia is enrolling board certified behavioral analysts to provide ABS. Toll Free: (877) 423-4746. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. %PDF-1.5 183 0 obj <> endobj QR c>stream Complete the online PECOS application. C;y}r_a^mTN\; y~%[Bd\;iPC#_I <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Once the LOI has been approved, you will receive an invitation to apply. 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. Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. (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). >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ Apply for Elderly and Disabled Waiver Program | Georgia.gov Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. An official website of the State of Georgia. We're here to help. Call us at (770) 458-8500 or contact us to learn more about obtaining personal homecare or skilled nursing care from one of our compassionate caregivers under the SOURCE waiver program. Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. Sign up to get the latest information about your choice of CMS topics. 7 0 obj 451 0 obj <>stream +V:NvRXA1/Nari4V here J0xhcni).P~EJRt l ^E`>XBI!_~ How Do I Become A Provider? - Georgia Department of Behavioral Health Persons served through the CCSP Program must be eligible for Medicaid and meet the following requirements: Have cognitive and or physical impairments/limitations which make it difficult to perform normal daily living activities and live independently 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. You may view the appropriate policies, Recruitment and Application to Become a Provider of Developmental Disability Services, 02-701, Recruitment and Application to become a Provider of Behavioral Health Services, 01-111, Financial and Reporting Requirements for Community Providers, 21-101. are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website: https://dbhdd.georgia.gov/community-provider-manuals, Provider Manual for Community Behavioral Health Providers, Provider Manual for Community Developmental Disability Providers. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. <> Contact Your MAC (PDF). To provide services in other counties, you can find the appropriate AAA at, To sign up for a CCSP Provider Consult, please visit our. PDF Georgia's Medicaid Waivers & Programs - Georgia Department of Education See, for example, Adena Regional Medical Center v. h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, 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. 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). ) and 4 0 obj Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. Enrollment Forms - Georgia An official website of the State of Georgia. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. zi>n[q@. Primary: (404) 657-5468. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. Medicaid Waivers - Georgia Health Section 1135 Waiver Flexibilities Coronavirus Disease 2019 (COVID-19) Unwinding and Returning to Regular Operations after COVID-19 Medicaid and CHIP Resources CMCS Medicaid and CHIP All State Calls State Waiver and Amendment Approvals Tools and Checklists for States Other Agency Guidance Press Releases SPA and 1915 Waiver Processing The A list of the applicable manuals is below. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. If you applied online, you can keep your information up to date in PECOS. Georgia Pediatric Program (GAPP) Independent The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Per DCH policy you must wait one (1) year before submitting another application. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address.