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. endstream Apply for Medicaid Medicaid has several programs that can help you or your family. - Posted 02/16/21, New A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Secure .gov websites use HTTPSA Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 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. zi>n[q@. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. Pursuant to 42 C.F.R. endstream endobj 188 0 obj <>stream Independent 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. The State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. endobj Waiver Renewal Application 3 . to complete the registration (select the date you would like to attend in the drop-down box at the top). Before sharing sensitive or personal information, make sure youre on an official state website. Online Form. 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. 215 0 obj <>stream lock To provide services in other counties, you can find the appropriate AAA at, To sign up for a CCSP Provider Consult, please visit our. 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. 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 % >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ See, for example, Adena Regional Medical Center v. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. CCSP recipients have a monthly income between $400 and $2523 per month. You can decide how often to receive updates. https:// endobj Medicaid. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. 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. An official website of the State of Georgia. Providers can also enroll to become a participating provider using the Enrollment Wizard . Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. *x(Pi 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. Providers offering Personal Support Services and Skilled Nursing must have their license from DCH for at least nine (9) months as of the month of application to become a CCSP provider. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. User Information PDF Reader Required }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. Amendment Application for Comprehensive Supports Waiver Program 0 Complete the online PECOS application. 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. . 451 0 obj <>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. An official website of the State of Georgia. Georgia Pediatric Program (GAPP) Ready to become a Medicare provider or supplier? Both manuals can be found in the Medicaid web portal under Policy Manuals. J0xhcni).P~EJRt l ^E`>XBI!_~ Medicare is a federal program. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. How you know. - Updated 10/20/17. If you applied online, you can keep your information up to date in PECOS. Become a Medicaid provider. ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" U%:I("r-*gQF+'W8>wT, HjF 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. 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. \q~4za\c5f 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 Official websites use .govA the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . endstream endobj 187 0 obj <>stream Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Care Waiver Program (ICWP) 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:https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. 6 0 obj This guide will help you enroll in three steps. . CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Applications are accepted by DCH in March and September of each year. The 12 ADRC offices are identified by counties served. 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 Georgia's Medicaid Waivers & Programs . ]v&'0 pHin@ hf9^ Local, state, and federal government websites often end in .gov. l`JV``X Waiver 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 %PDF-1.5 % A guide to Medicaid Waiver Programs in Georgia is now available. What is the best number to call to get started? Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 obtain a clear understanding of this Medicaid 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. A complete list of Medicaid . stream 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. QR c>stream 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. 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. Toll Free: (877) 423-4746. 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. In recent years, public understanding and support of transgender (also known as trans) people and the issues that impact them has generally grown. ( Its important to keep your enrollment information up to date. We're here to help. Potential Provider Information . Once the LOI has been approved, you will receive an invitation to apply. ). 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. 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). An official website of the United States government How you know. 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. ]O'C '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. An official website of the State of Georgia. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. We could be the answer you've . Send a Message. For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. Medicaid Waiver 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. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. @ S 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). 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). PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. - Updated 3/10/20. Applications are accepted by DCH in March and September of each year. The following is a list of waiver programs in Georgia. The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. 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^^+* or .gov %PDF-1.5 <> access the EDWP Draft Application click here. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . How you know. 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. An official website of the State of Georgia. Learn more Renew Medicaid Benefits 4 0 obj This email will contain information regarding New Provider Orientation. Empowerline is here to help. Service lock To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. Call Us. Per DCH policy you must wait one (1) year before submitting another application. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. 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. HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; Medicaid provides access to free and low-cost medical care in Georgia. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. See if you qualify and apply for benefits. Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 NPIs are issued through the National Plan & Provider Enumeration System (NPPES). Georgia is enrolling board certified behavioral analysts to provide ABS. How do I know if I am in the right place? 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. Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. Contact your MAC (PDF). Many state waivers also offer a single reimbursement of between $40 - $200 intended to cover any installation or startup fees associated with a PERS service. {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\ U3:dw!#hYD8C"L "DFV%2*UG`p=FQ1jf*DW!ru^=W1^Ipl7 .(6D!,M|YK` "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? 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. 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. 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 . The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? Local, state, and federal government websites often end in .gov. 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. Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Local, state, and federal government websites often end in .gov. endobj HVn8}W#YDH PIQ ~R(P1 Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) <> Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. here ) - Updated 3/10/20. A list of the applicable manuals is below. ) and Amendment Application for Georgias Elderly & Disabled Waiver Program The Program Specialist may occasionally send Banner messages through web portal for important notifications. 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. 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). I@N( dA)H@3dD@(YC7'4 I. For more information on how to apply, visit Georgia's Department of Community Health website. 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. 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. endobj ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. 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. 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). State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. Click here for help and information about bookmarks. For details about this waiver renewal, For questions, contactccsp.messages@dch.ga.gov. 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. 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 (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). endstream endobj startxref An official website of the State of Georgia. hmO6?}`w h! Enroll using PECOS,i the online Medicare enrollment system. 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. C;y}r_a^mTN\; y~%[Bd\;iPC#_I To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. access the NOW Draft Application click here. )aa:bdF:. An official website of the State of Georgia. The waiver has been approved for a five-year period effective April 1, 2021. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 A guide to Medicaid Waiver Programs in Georgia is now available. In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. Before sharing sensitive or personal information, make sure youre on an official state website. I. An official website of the State of Georgia. 5 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. Local, state, and federal government websites often end in .gov. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y 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). Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. How you know. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. An official website of the State of Georgia. You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. YouTube page for Georgia Medicaid; How can we help? You may access this form here: https://www.georgiacollaborative.com/providers/forms/. COMP 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 .