how to become a medicaid waiver provider in georgia how to become a medicaid waiver provider in georgia

Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 Per DCH policy you must wait one (1) year before submitting another application. Enroll using PECOS,i the online Medicare enrollment system. 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. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. 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. Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. 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. Not sure if you have an NPI? the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . to complete the registration (select the date you would like to attend in the drop-down box at the top). here - Posted 02/16/21, New ) and endobj 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. I. Georgia's Medicaid Waivers & Programs . Once the LOI has been approved, you will receive an invitation to apply. HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! 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 X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. % 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). State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. Links to the public notices and draft waiver applications are listed below. If you applied using a paper application, youll need to resubmit your form to update information. 183 0 obj <> endobj 6 0 obj We can help connect you to privately and publicly funded resources from more than 26,000 community-based providers. QR c>stream Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. Potential Provider Information . Become a Medicaid provider. Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. Before sharing sensitive or personal information, make sure youre on an official state website. <> hbbd``b`$0 H8ED|V@5W8d100R + bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). Independent 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. u_P6l@ul %Z=*JFx])(u=h7VY``KN`"F43FT bq0I\&{U\yCv^_x]uvEaxA&ems- EgV+$10l.R!,x?U?EVusxp9VsaVrn{jq5bSTtf[#uvRet N|CNxRo~zZ,w9_/{Xoq zqow+^_ujd(bQPwWn7}Azhu[T_ The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. 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. Local, state, and federal government websites often end in .gov. Before sharing sensitive or personal information, make sure you're on an official state website. If you applied online, you can keep your information up to date in PECOS. Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) 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. 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. 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 Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. J0xhcni).P~EJRt l ^E`>XBI!_~ Your MAC can help you navigate the enrollment process and answer questions about your application. \q~4za\c5f 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^^+* ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. 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. . 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. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Call 1-800-GEORGIA to verify that a website is 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. @ S obtain a clear understanding of this Medicaid Waiver. Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. C;y}r_a^mTN\; y~%[Bd\;iPC#_I The For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. These programs offer an array of services designed specifically for the population such as support employment, residential services, specialized medical equipment and supplies, vehicle adaptation and behavior support services. >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ Sign up to get the latest information about your choice of CMS topics. <> An official website of the United States government 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. Applications are accepted by DCH in March and September of each year. %PDF-1.5 451 0 obj <>stream Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. I. 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). A list of the applicable manuals is below. Each program offers several "core" services: Additional services are available under each program. zi>n[q@. 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). endobj To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) 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 HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. 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. How do I know if I am in the right place? Toll Free: (877) 423-4746. 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). (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). <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Options Using Resources in a Community Environment (SOURCE The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! 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. 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. How you know. ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. You may access this form here: https://www.georgiacollaborative.com/providers/forms/. 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. ( Online Form. How you know. Provides services to medically fragile children with multiple system diagnoses. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. 2023 Atlanta Regional Commission. 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. If the DCH application is denied, you are notified by DCH and advised of the next steps. l`JV``X An official website of the State of Georgia. Medicaid provides access to free and low-cost medical care in Georgia. 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. 1 0 obj <> Potential CCSP Provider . CX 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. Georgia Pediatric Program (GAPP) endstream endobj 188 0 obj <>stream Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . 4 0 obj The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. A list of the applicable manuals is below. 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. Applications are accepted by DCH in March and September of each year. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. .gov You can also contact GMCF at www.gmcf.org . 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. 5 A guide to Medicaid Waiver Programs in Georgia is now available. This email will contain information regarding New Provider Orientation. p?.e^Tv+2,[P3-Nj` @Fy 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). ]v&'0 pHin@ hf9^ 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. access the NOW Draft Application click here. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. i If youre unable to apply online using PECOS, you can use a paper application form. <> hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. website belongs to an official government organization in the United States. The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. All Rights Reserved. CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. Before sharing sensitive or personal information, make sure youre on an official state website. "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? 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. Apply for Medicaid Medicaid has several programs that can help you or your family. Contact your MAC (PDF). 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 . about a provider in your area call: 404.657-7211 Division of Medical Assistance Plans under the Department of Community Health . Before sharing sensitive or personal information, make sure youre on an official state website. PIQ ~R(P1 Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. An official website of the State of Georgia. Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. For more information on how to apply, visitGeorgias Department of Community Health website. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 CCSP recipients have a monthly income between $400 and $2523 per month. stream Waiver Renewal Application Medicaid Waiver ]O'C For more information on how to apply, visit Georgia's Department of Community Health website. The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. How you know. Found in the Elderly & Disabled Waiver Program, the CCSP and SOURCE Programs serve frail elderly and disabled Georgians otherwise eligible under a nursing facility level of care through the provision of case management for service coordination, adult daycare, alternative living services, personal care, home-delivered meals, and respite care for family caregivers. Local, state, and federal government websites often end in .gov. Email Us. Georgia is enrolling board certified behavioral analysts to provide ABS. endobj 3 0 obj Providers offering Personal Support Services and Skilled Nursing must have their license from DCH for at least nine (9) months as of the month of application to become a CCSP provider. BIL> +x! The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. YouTube page for Georgia Medicaid; How can we help? The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered COMP click hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! . 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 In recent years, public understanding and support of transgender (also known as trans) people and the issues that impact them has generally grown. Complete the online PECOS application. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes <> 215 0 obj <>stream An official website of the State of Georgia. Pursuant to 42 C.F.R. Local, state, and federal government websites often end in .gov. Heres how you know. Both manuals can be found in the Medicaid web portal under Policy Manuals. Amendment Application for Comprehensive Supports Waiver Program State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS stream 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 . (u0o"q Bt$ Il&0t}V%YXe-'37# 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 Send a Message. 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. We're here to help. We're here to help. The following is a list of waiver programs in Georgia. A guide to Medicaid Waiver Programs in Georgia is now available. Persons served through the CCSP Program must be eligible for Medicaid and meet the following requirements: Have cognitive and or physical impairments/limitations which make it difficult to perform normal daily living activities and live independently %PDF-1.6 % An official website of the State of Georgia. Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. 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. User Information PDF Reader Required lock Empowerline is here to help. {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\ U3:dw!#hYD8C"L "DFV%2*UG`p=FQ1jf*DW!ru^=W1^Ipl7 .(6D!,M|YK` %PDF-1.5 % U%:I("r-*gQF+'W8>wT, HjF Waiver 5 0 obj *x(Pi State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. An official website of the State of Georgia. ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" Provider agency must have the legal right to conduct business in the State of Georgia (i.e., current business license or other proof of legal authorization) b. Local, state, and federal government websites often end in .gov. Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. lock Local, state, and federal government websites often end in .gov. Call us at (770) 458-8500 or contact us to learn more about obtaining personal homecare or skilled nursing care from one of our compassionate caregivers under the SOURCE waiver program. HVn8}W#YDH ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v We could be the answer you've . The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. %%EOF Thank you for your interest in becoming a provider for DBHDD! The 12 ADRC offices are identified by counties served. - Updated 3/10/20. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. 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. What is the best number to call to get started? 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. 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. 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. ) (xC]`)q6> The waiver has been approved for a five-year period effective April 1, 2021. to Medicaid members. 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 An official website of the State of Georgia.