I. i If youre unable to apply online using PECOS, you can use a paper application form. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . 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. 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. 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! Local, state, and federal government websites often end in .gov. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. 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. J0xhcni).P~EJRt l ^E`>XBI!_~ 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). Each program offers several "core" services: Additional services are available under each program. A list of the applicable manuals is below. How you know. Community 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). The 12 ADRC offices are identified by counties served. Local, state, and federal government websites often end in .gov. Applications are accepted by DCH in March and September of each year. ]O'C 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. 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 In recent years, public understanding and support of transgender (also known as trans) people and the issues that impact them has generally grown. 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. How you know. Applications are accepted by DCH in March and September of each year. You can apply for an NPI on the NPPES website. 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. HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. 1 0 obj The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. 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. To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. Its important to keep your enrollment information up to date. The following is a list of waiver programs in Georgia. Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. obtain a clear understanding of this Medicaid Waiver. For more information on how to apply, visit Georgia's Department of Community Health website. A guide to Medicaid Waiver Programs in Georgia is now available. Each state has its own waivers and each waiver, its own policy. Applications are accepted by DCH in March and September of each year. 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. 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. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. Your MAC can help you navigate the enrollment process and answer questions about your application. Not sure if you have an NPI? 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. Contact Your MAC (PDF). How you know. M\}v4 For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. (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). Learn more Renew Medicaid Benefits 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). (706) 792-7741 OR (800) 348-3503. Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. Click here for help and information about bookmarks. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 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. '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y A list of the applicable manuals is below. 7 0 obj +V:NvRXA1/Nari4V To be eligible for Medicare, a . Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. hmO6?}`w h! The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. 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. R )aa:bdF:. ). 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 endobj endobj Send a Message. 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. 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 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. zi>n[q@. <> 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). This guide will help you enroll in three steps. In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. Share sensitive information only on official, secure websites. %PDF-1.6 % Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 Call Us. endobj State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. 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. .gov To apply for services contact a GAPP provider agency directly. Primary: (404) 657-5468. @ S 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 To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Medicare is a federal program. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. You can decide how often to receive updates. 4 0 obj %PDF-1.5 % An official website of the State of Georgia. An official website of the State of 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. 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). stream the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . I@N( dA)H@3dD@(YC7'4 See if you qualify and apply for benefits. ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. U%:I("r-*gQF+'W8>wT, HjF stream Before sharing sensitive or personal information, make sure youre on an official state website. <>>> At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. 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. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes Amendment Application for Comprehensive Supports Waiver Program A complete list of Medicaid . COMP Waiver Renewal Application State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. Potential Provider Information . BIL> +x! 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 You can also contact GMCF at www.gmcf.org . <> You may access this form here: https://www.georgiacollaborative.com/providers/forms/. Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Provides services to medically fragile children with multiple system diagnoses. <> YouTube page for Georgia Medicaid; How can we help? 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. FAQs A guide to Medicaid Waiver Programs in Georgia is now available. 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. ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v Medicaid. Heres how you know. Before sharing sensitive or personal information, make sure you're on an official state website. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. 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. 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. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 5 0 obj Complete the online PECOS application. A list of the applicable manuals is below. Search the NPI Registry. An official website of the State of Georgia. Toll Free: (877) 423-4746. 5 - Updated 3/10/20. Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. HVn8}W#YDH endobj Providers can also enroll to become a participating provider using the Enrollment Wizard . "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?

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