how to become a medicaid waiver provider in georgia

I. How you know. State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. An official website of the State of Georgia. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. access the EDWP Public Notice click here. Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Send a Message. 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. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. Contact your MAC (PDF). COMP Options Using Resources in a Community Environment (SOURCE 5 lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ Applications are accepted by DCH in March and September of each year. Waiver 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. Georgia is enrolling board certified behavioral analysts to provide ABS. obtain a clear understanding of this Medicaid Waiver. 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. 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 . {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\ U3:dw!#hYD8C"L "DFV%2*UG`p=FQ1jf*DW!ru^=W1^Ipl7 .(6D!,M|YK` 7 0 obj You can also contact GMCF at www.gmcf.org . Local, state, and federal government websites often end in .gov. Georgia Pediatric Program (GAPP) Call us at 770-458-8500 or contact us to learn more about obtaining personal care or skilled nursing care from one of our compassionate caregivers under the Community Care Services Program. <> For questions, contactccsp.messages@dch.ga.gov. stream CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Local, state, and federal government websites often end in .gov. sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Your MAC can help you navigate the enrollment process and answer questions about your application. >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ 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). ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. Care Waiver Program (ICWP) Each state has its own waivers and each waiver, its own policy. CCSP recipients have a monthly income between $400 and $2523 per month. <> YouTube page for Georgia Medicaid; How can we help? 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. For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 4 0 obj 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. %PDF-1.6 % The Program Specialist may occasionally send Banner messages through web portal for important notifications. Medicaid provides access to free and low-cost medical care in Georgia. 1 0 obj How do I know if I am in the right place? Many people qualify to receive Medicaid, but first you have to apply. To provide services in other counties, you can find the appropriate AAA at, To sign up for a CCSP Provider Consult, please visit our. Potential Provider Information . 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. Applications are accepted by DCH in March and September of each year. Amendment Application for Georgias Elderly & Disabled Waiver Program 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. 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. <> stream 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. or 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). State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. 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. 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. The 12 ADRC offices are identified by counties served. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. A list of the applicable manuals is below. Community l`JV``X Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. <> 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. An official website of the State of Georgia. ]O'C (xC]`)q6> Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. +V:NvRXA1/Nari4V xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y Some of those are described in this guide and include To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. lock 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. 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. How you know. Care Services Program (CCSP I@N( dA)H@3dD@(YC7'4 At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. endstream endobj 188 0 obj <>stream 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. Before sharing sensitive or personal information, make sure youre on an official state website. - Updated 10/20/17. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. access the NOW Draft Application click here. <>>> Amendment Application for Comprehensive Supports Waiver Program Gather What You'll Need See if you qualify and apply for benefits. - Updated 3/10/20. 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. Local, state, and federal government websites often end in .gov. GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. Enroll using PECOS,i the online Medicare enrollment system. QR c>stream bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). You may access this form here: https://www.georgiacollaborative.com/providers/forms/. }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. Learn more Renew Medicaid Benefits X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . Medicare is a federal program. Independent 451 0 obj <>stream 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 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. Pursuant to 42 C.F.R. This guide will help you enroll in three steps. All Contacts. - Updated 3/10/20. 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. ). 183 0 obj <> endobj 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 Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered Before sharing sensitive or personal information, make sure youre on an official state website. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. - Posted 2/21/19, Waiver If the DCH application is denied, you are notified by DCH and advised of the next steps. Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 endobj 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! The following is a list of waiver programs in Georgia. We could be the answer you've . Medicaid Waiver A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. . zi>n[q@. C;y}r_a^mTN\; y~%[Bd\;iPC#_I Potential Provider Information . hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? This email will contain information regarding New Provider Orientation. A guide to Medicaid Waiver Programs in Georgia is now available. 2023 Atlanta Regional Commission. Provides services to medically fragile children with multiple system diagnoses. 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. 3 . %PDF-1.5 % Local, state, and federal government websites often end in .gov. (706) 792-7741 OR (800) 348-3503. 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. (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). ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) Before sharing sensitive or personal information, make sure youre on an official state website. Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. 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. (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 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. Empowerline is here to help. The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. 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 A list of the applicable manuals is below. )aa:bdF:. .gov Potential CCSP Provider . For details about this waiver renewal, An official website of the State of Georgia. 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). What is the best number to call to get started? You can decide how often to receive updates. Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) For more information on how to apply, visit Georgia's Department of Community Health website. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 However, misconceptions Read More, As Metro Atlantas Area Agency on Aging, ARC Serves Needs of Older Residents As the planning agency for the Atlanta region, the Atlanta Regional Commission Read More. h]|;nO73xiKD9 &t&|4>F3 Hd""W;S|i~00T|Attq{pcE^kTuU"c`rwLfT|HLn q. 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). I. 3 0 obj Email Us. p?.e^Tv+2,[P3-Nj` @Fy Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. Primary: (404) 657-5468. 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. HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; Before sharing sensitive or personal information, make sure youre on an official state website. To be eligible for Medicare, a . To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). An official website of the State of Georgia. 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. 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). FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes . endobj To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. Thank you for your interest in becoming a provider for DBHDD! Many state waivers also offer a single reimbursement of between $40 - $200 intended to cover any installation or startup fees associated with a PERS service. The CCSP Provider Consult is not a general information session. Secure .gov websites use HTTPSA Search the NPI Registry. click 197 0 obj <>/Filter/FlateDecode/ID[<234E316E3F783646B907FABD30F2C407>]/Index[183 33]/Info 182 0 R/Length 77/Prev 46133/Root 184 0 R/Size 216/Type/XRef/W[1 2 1]>>stream We can help connect you to privately and publicly funded resources from more than 26,000 community-based providers. Complete the online PECOS application. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. R ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v The A list of the applicable manuals is below. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Provider News. 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$Rm0, yRLo_g^:ULoBJ u84e)\.RP~)ffje__7_WOmp/g9s__k]0oN5kl]0 OT}gq^_i^^+* U%:I("r-*gQF+'W8>wT, HjF These manuals, listed below, will provide you with the definition of services and the associated standards. endstream endobj Both manuals can be found in the Medicaid web portal under Policy Manuals. Waiver Renewal Application Service Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . lock 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! . To be eligible for NOW or COMP Medicaid Waiver services, a person must have an intellectual disability - or a closely related developmental disability, such as autism, cerebral palsy, or epilepsy - which substantially impairs intellectual or adaptive functioning. Once the LOI has been approved, you will receive an invitation to apply. To qualify, you must be eligible for Medicaid and: Be at least 65 years old (or, if younger than 65, meet certain disability requirements), Be impaired by physical limitations, Choose to receive services in your home or community instead of a nursing home, and Participate in only one waiver program at a time. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v ( At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. \q~4za\c5f 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. The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. *x(Pi hmO6?}`w h! The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. (u0o"q Bt$ Il&0t}V%YXe-'37# 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 Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. 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. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu.