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. here Local, state, and federal government websites often end in .gov. Send a Message. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. R Many people qualify to receive Medicaid, but first you have to apply. 451 0 obj <>stream % obtain a clear understanding of this Medicaid Waiver. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. Before sharing sensitive or personal information, make sure youre on an official state website. Before sharing sensitive or personal information, make sure you're on an official state website. 183 0 obj <> endobj 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). 6 0 obj Provides services to medically fragile children with multiple system diagnoses. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. To apply for services contact a GAPP provider agency directly. 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. - Posted 02/16/21, New 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. 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. Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 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. 0 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. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. zi>n[q@. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. . 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$g9?H~w(;) Ck{r~i~Y1wyU1X.M C The A guide to Medicaid Waiver Programs in Georgia is now available. stream ) and 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! endstream endobj 187 0 obj <>stream Links to the public notices and draft waiver applications are listed below. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. How you know. A list of the applicable manuals is below. 3 0 obj }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. y(v3Dlq+d9f{yv+M1NZB)"8Sun)8KB"$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 Call Us. Official websites use .govA 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^^+* The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. You can also contact GMCF at www.gmcf.org. lock Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Potential Provider Information . Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. Waiver Renewal Application 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. *x(Pi 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. h]|;nO73xiKD9 &t&|4>F3 Hd""W;S|i~00T|Attq{pcE^kTuU"c`rwLfT|HLn q. 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. 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. .gov J0xhcni).P~EJRt l ^E`>XBI!_~ 5 0 obj 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 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. All Rights Reserved. Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v This email will contain information regarding New Provider Orientation. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. An official website of the State of Georgia. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. Before sharing sensitive or personal information, make sure youre on an official state website. bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). 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. The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered hbbd``b`$0 H8ED|V@5W8d100R + Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. 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. 2023 Atlanta Regional Commission. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. about a provider in your area call: 404.657-7211 Division of Medical Assistance Plans under the Department of Community Health . User Information PDF Reader Required @ S An official website of the State of Georgia. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes U%:I("r-*gQF+'W8>wT, HjF Waiver Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. COMP %PDF-1.6 % I@N( dA)H@3dD@(YC7'4 How you know. 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. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. 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. Medicaid. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. How you know. An official website of the State of Georgia. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? ). Each program offers several "core" services: Additional services are available under each program. "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? 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. The following is a list of waiver programs in Georgia. The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. Medicare is a federal program. 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 . Gather What You'll Need I. An official website of the State of Georgia. 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. We're here to help. Provider News. <> Before sharing sensitive or personal information, make sure youre on an official state website. Empowerline is here to help. to complete the registration (select the date you would like to attend in the drop-down box at the top). FAQs +V:NvRXA1/Nari4V Service NPIs are issued through the National Plan & Provider Enumeration System (NPPES). 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. CCSP recipients have a monthly income between $400 and $2523 per month. 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. endobj Your MAC can help you navigate the enrollment process and answer questions about your application. 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. 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. For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 access the EDWP Public Notice click here. PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. Apply for Medicaid Medicaid has several programs that can help you or your family. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia.

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