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HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. Service Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. QR c>stream Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. Thank you for your interest in becoming a provider for DBHDD! GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. ]O'C Local, state, and federal government websites often end in .gov. We're here to help. The 12 ADRC offices are identified by counties served. obtain a clear understanding of this Medicaid Waiver. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Applications are accepted by DCH in March and September of each year. See, for example, Adena Regional Medical Center v. 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. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. The Program Specialist may occasionally send Banner messages through web portal for important notifications. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v You may access this form here: https://www.georgiacollaborative.com/providers/forms/. For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. @ S J0xhcni).P~EJRt l ^E`>XBI!_~ Care Services Program (CCSP Ready to become a Medicare provider or supplier? ( endstream endobj 188 0 obj <>stream How you know. 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. Local, state, and federal government websites often end in .gov. Some of those are described in this guide and include click Call Us. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. p?.e^Tv+2,[P3-Nj` @Fy At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. 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. 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. C;y}r_a^mTN\; y~%[Bd\;iPC#_I U%:I("r-*gQF+'W8>wT, HjF Once the LOI has been approved, you will receive an invitation to apply. <> This guide will help you enroll in three steps. Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. <> <>>> 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. (xC]`)q6> An official website of the United States government 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. We could be the answer you've . For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. stream How do I know if I am in the right place? 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). lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ Contact your MAC (PDF). access the EDWP Public Notice click here. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . 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. For more information on how to apply, visit Georgia's Department of Community Health website. HVKo8WH(K@Q E]n=j/8jCdYi)f7B 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. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. Heres how you know. 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 apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS Contact Your MAC (PDF). Policies and Procedures for Medicaid/Peachcare for Kids Part I, Comprehensive Supports Waiver Program (COMP) & New Options Waiver Program (NOW) -, Comprehensive Supports Waiver Program (COMP)- Chapters 1300-3600 - Part III, New Options Waiver Program (NOW) Part III. BIL> +x! 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 Waiver Renewal Application ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. 3 . Medicare is a federal program. ]v&'0 pHin@ hf9^ A list of the applicable manuals is below. NPIs are issued through the National Plan & Provider Enumeration System (NPPES). An official website of the State of Georgia. ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v - Updated 3/10/20. "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r >oT->+ L}$\ZSypts [}s[pYI._.jJ&*40)|[cPU|9V&=pC~7kj~xcR1>5>)`lB3{jgj|zu_3\O5c\j;2Ft(|5UdC /w.s}7U1242LV.2eH2*M[w+uFA:x7FX8ztjf#;R_kUMFUu2gKa7{=/9v@a*Uj3^ T 9srz>n.QI>dY294? (706) 792-7741 OR (800) 348-3503. The waiver has been approved for a five-year period effective April 1, 2021. A list of the applicable manuals is below. For more information on how to apply, visitGeorgias Department of Community Health website. Applications are accepted by DCH in March and September of each year. Provider agency must have the legal right to conduct business in the State of Georgia (i.e., current business license or other proof of legal authorization) b. Both manuals can be found in the Medicaid web portal under Policy Manuals. zoX-8IHH=mhX&Z4&kjI[%w$WTdsalTLbBaCVnPm+E:YYel dadBwi,0>ldbuSUqQ47Z"ZWjU\ES-juSn*TY=#R:EGMs@sxNH.&trZX/fb-SS\i:}%{qjCm"nSkHl$,?z-#=k?zGTHr|&aiR>Z`oNI}c^0jv+Z-+qmN4kGTni@y3zd O'lg[(6+mOK>>a?I/3?.~#cX9y|/I. Before sharing sensitive or personal information, make sure youre on an official state website. An official website of the State of Georgia. These programs offer an array of services designed specifically for the population such as support employment, residential services, specialized medical equipment and supplies, vehicle adaptation and behavior support services. For those services that require a state license, your agency must already be licensed by the DCH Division of Healthcare Facility Regulation in order to attend a CCSP Provider Consult. A list of the applicable manuals is below. - Updated 3/10/20. Amendment Application for Georgias Elderly & Disabled Waiver Program lock An official website of the State of Georgia. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. stream 183 0 obj <> endobj Intellectual & Developmental Disabilities, Applications for New & Existing Providers, Improving Health Outcomes Initiative Collaborative Learning Center, How to Report a Concern or Complaint about the Quality of Care or Safety. How you know. *x(Pi '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y Medicaid. x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o X`g(_;6y~c|Y'CUzWcJ`n?jLuQ N9|7A~B (|8dmc?w-wb_Aba THUa^D>4?:'jg/p|,cgi,mKW\I$S~YNwG5.L-gj9~Q ;0F02 q ?RhA+v5\*k8kqiFyAJ4$g9?H~w(;) Ck{r~i~Y1wyU1X.M C to complete the registration (select the date you would like to attend in the drop-down box at the top). Options Using Resources in a Community Environment (SOURCE h]|;nO73xiKD9 &t&|4>F3 Hd""W;S|i~00T|Attq{pcE^kTuU"c`rwLfT|HLn q. Local, state, and federal government websites often end in .gov. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. Learn more Renew Medicaid Benefits (u0o"q Bt$ Il&0t}V%YXe-'37# 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. Official websites use .govA endobj 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. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. l`JV``X The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. Providers can also enroll to become a participating provider using the Enrollment Wizard . 451 0 obj <>stream <> endobj The 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. Medicaid Waiver Provides services to medically fragile children with multiple system diagnoses. %PDF-1.5 (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. I. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? 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. 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. - Posted 3/29/19. 0 The following is a list of waiver programs in Georgia. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. . (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. 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. endstream endobj 187 0 obj <>stream % State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. 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 ). 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^^+* Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. I. For details about this waiver renewal, Not sure if you have an NPI? Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. 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. You can apply for an NPI on the NPPES website. Share sensitive information only on official, secure websites. Local, state, and federal government websites often end in .gov. or For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! As 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. You can also contact GMCF at www.gmcf.org. Before sharing sensitive or personal information, make sure youre on an official state website. Local, state, and federal government websites often end in .gov. Provider News. Pursuant to 42 C.F.R. ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. Care Waiver Program (ICWP) endobj The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. 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 Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. 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. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. 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. State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. 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). Gather What You'll Need Georgia is enrolling board certified behavioral analysts to provide ABS. You can also check in with your MAC regarding your enrollment status. The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 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 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. Before sharing sensitive or personal information, make sure youre on an official state website. endobj Email Us. If you applied using a paper application, youll need to resubmit your form to update information. Potential Provider Information . To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. What is the best number to call to get started? An official website of the State of Georgia. 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). Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. access the EDWP Draft Application click here. Georgia Pediatric Program (GAPP) \q~4za\c5f - Posted 2/21/19, Waiver For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. Click here for help and information about bookmarks. A complete list of Medicaid . The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. %PDF-1.6 % Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 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 hmO6?}`w h! Primary: (404) 657-5468. Medicaid provides access to free and low-cost medical care in Georgia. 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. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! 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. R YouTube page for Georgia Medicaid; How can we help? endstream endobj startxref Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. 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).