4 0 obj Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. 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. https:// Thank you for your interest in becoming a provider for DBHDD! 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. A guide to Medicaid Waiver Programs in Georgia is now available. For more information on how to apply, visit Georgia's Department of Community Health website. 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. GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. 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 must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. 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. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. If the DCH application is denied, you are notified by DCH and advised of the next steps. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. Once the LOI has been approved, you will receive an invitation to apply. ). click For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 183 0 obj <> endobj (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. 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. An official website of the State of Georgia. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. You can also check in with your MAC regarding your enrollment status. 5 0 obj For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. 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. % An official website of the State of Georgia. I. An official website of the State of Georgia. 5 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). hmO6?}`w h! Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. HCBS Guide (4.17 MB) 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. Options Using Resources in a Community Environment (SOURCE to complete the registration (select the date you would like to attend in the drop-down box at the top). 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_ An official website of the State of Georgia. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. 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. Toll Free: (877) 423-4746. The waiver has been approved for a five-year period effective April 1, 2021. lock Potential Provider Information . The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. . This guide will help you enroll in three steps. Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Both manuals can be found in the Medicaid web portal under Policy Manuals. (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). Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Medicaid provides access to free and low-cost medical care in Georgia. To provide services in other counties, you can find the appropriate AAA at, To sign up for a CCSP Provider Consult, please visit our. 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. - Updated 3/10/20. For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. As a general rule of thumb, in 2022, senior applicants for a HCBS Waiver are limited to $2,523 / month in income and $2,000 in assets. Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. . The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. COMP The following is a list of waiver programs in Georgia. - Updated 10/20/17. Links to the public notices and draft waiver applications are listed below. Potential Provider Information . The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. Local, state, and federal government websites often end in .gov. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Amendment Application for Comprehensive Supports Waiver Program stream zoX-8IHH=mhX&Z4&kjI[%w$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. 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. stream A list of the applicable manuals is below. For questions, contactccsp.messages@dch.ga.gov. Secure .gov websites use HTTPSA access the EDWP Public Notice click here. 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. 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. ) and HVn8}W#YDH 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. Local, state, and federal government websites often end in .gov. Waiver Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. Not sure if you have an NPI? 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 A list of the applicable manuals is below. BIL> +x! ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. . {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` [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, Local, state, and federal government websites often end in .gov. 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 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. <> \q~4za\c5f Online Form. Before sharing sensitive or personal information, make sure youre on an official state website. The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. Local, state, and federal government websites often end in .gov. 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. Learn more Renew Medicaid Benefits An official website of the State of Georgia. 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. lock For more information on how to apply, visitGeorgias Department of Community Health website. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# Each program offers several "core" services: Additional services are available under each program. Call Us. How you know. access the EDWP Draft Application click here. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. Sign up to get the latest information about your choice of CMS topics. HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; C;y}r_a^mTN\; y~%[Bd\;iPC#_I An official website of the State of Georgia. To qualify, you must be eligible for Medicaid and: Be at least 65 years old (or, if younger than 65, meet certain disability requirements), Be impaired by physical limitations, Choose to receive services in your home or community instead of a nursing home, and Participate in only one waiver program at a time. Apply to become a Medicaid Waiver Provider To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). A complete list of Medicaid . QR c>stream In recent years, public understanding and support of transgender (also known as trans) people and the issues that impact them has generally grown. If your agency provides one of the following services, you may wish to enroll as a Medicaid waiver provider: To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). +V:NvRXA1/Nari4V PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! 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. An official website of the State of Georgia. endobj State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. To apply for services contact a GAPP provider agency directly. Official websites use .govA Waiver Renewal Application The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . CX Provider News. How you know. You can decide how often to receive updates. These programs offer an array of services designed specifically for the population such as support employment, residential services, specialized medical equipment and supplies, vehicle adaptation and behavior support services. An official website of the State of Georgia. Email Us. Service At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. 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. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. 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. M\}v4 Before sharing sensitive or personal information, make sure youre on an official state website. endstream endobj startxref 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^^+* 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. Potential CCSP Provider . to Medicaid members. Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) Each state has its own waivers and each waiver, its own policy. means youve safely connected to the .gov website. Before sharing sensitive or personal information, make sure youre on an official state website. We're here to help. - Posted 3/29/19. Contact your MAC (PDF). Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. - Posted 2/21/19, Waiver CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Local, state, and federal government websites often end in .gov. 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. 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. See, for example, Adena Regional Medical Center v. PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. 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. You can also contact GMCF at www.gmcf.org. 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. Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. See if you qualify and apply for benefits. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Visit the DCH waivers webpage at: https://dch.georgia.gov/waivers September 2017 Georgia Department of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404 . Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. here HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 3 0 obj endobj p?.e^Tv+2,[P3-Nj` @Fy 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. ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. Gather What You'll Need sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS 7 0 obj Become a Medicaid provider. zi>n[q@. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. <> 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>> Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 ]v&'0 pHin@ hf9^ User Information PDF Reader Required Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 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). 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). Primary: (404) 657-5468. access the NOW Draft Application click here. For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. Heres how you know. obtain a clear understanding of this Medicaid Waiver. Applications are accepted by DCH in March and September of each year. Care Waiver Program (ICWP) Applications are accepted by DCH in March and September of each year. 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. CCSP recipients have a monthly income between $400 and $2523 per month. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! An official website of the State of Georgia. endobj For your convenience, this section of our website was created to centralize information that may be particularly important to you as Medicaid and PeachCare for Kids providers. We could be the answer you've . 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. An official website of the United States government 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 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. Medicaid. 0 (xC]`)q6> Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. 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. 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. U%:I("r-*gQF+'W8>wT, HjF 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. Before sharing sensitive or personal information, make sure youre on an official state website. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. 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. ) - Updated 3/10/20. Georgia's Medicaid Waivers & Programs . 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). Share sensitive information only on official, secure websites. xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y This email will contain information regarding New Provider Orientation. Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. <>>> How do I know if I am in the right place? 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. If you applied online, you can keep your information up to date in PECOS. endobj l`JV``X endobj Independent For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. <> 3 . Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20
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