how to become a medicaid waiver provider in georgia

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. 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^^+* <> Its important to keep your enrollment information up to date. Before sharing sensitive or personal information, make sure youre on an official state website. '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. 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. An official website of the United States government CCSP recipients have a monthly income between $400 and $2523 per month. y(v3Dlq+d9f{yv+M1NZB)"8Sun)8KB"$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 Options Using Resources in a Community Environment (SOURCE @ S %PDF-1.5 NPIs are issued through the National Plan & Provider Enumeration System (NPPES). . Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Each state has its own waivers and each waiver, its own policy. Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. 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. Heres how you know. Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. Independent State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Your MAC can help you navigate the enrollment process and answer questions about your application. If you applied online, you can keep your information up to date in PECOS. The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. Community 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$&K~ .g\7C%Uw=}gS=t/*/fr. Some of those are described in this guide and include <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. Pursuant to 42 C.F.R. endobj The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. The Provider Enrollment Unit can be reached at the following: In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. An official website of the State of Georgia. Empowerline is here to help. (u0o"q Bt$ Il&0t}V%YXe-'37# The CCSP Provider Consult is not a general information session. An official website of the State of Georgia. lock You may access this form here: https://www.georgiacollaborative.com/providers/forms/. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Before sharing sensitive or personal information, make sure youre on an official state website. 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). - Updated 10/20/17. Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. 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 qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. means youve safely connected to the .gov website. Primary: (404) 657-5468. endstream endobj 188 0 obj <>stream See, for example, Adena Regional Medical Center v. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. 1 0 obj The 12 ADRC offices are identified by counties served. We could be the answer you've . You can also check in with your MAC regarding your enrollment status. HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! ) endstream endobj 187 0 obj <>stream 4 0 obj %PDF-1.5 % However, misconceptions Read More, As Metro Atlantas Area Agency on Aging, ARC Serves Needs of Older Residents As the planning agency for the Atlanta region, the Atlanta Regional Commission Read More. If the DCH application is denied, you are notified by DCH and advised of the next steps. stream YouTube page for Georgia Medicaid; How can we help? Independent Care Waiver Program (ICWP) ICWP offers services to a limited number of adult members with physical disabilities, including persons with traumatic brain injuries (TBI). lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ Georgia Pediatric Program (GAPP) . This information is located on the Georgia Medicaid Management Information System (GAMMIS) website at: https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. Toll Free: (877) 423-4746. To qualify, you must be eligible for Medicaid and: Be at least 65 years old (or, if younger than 65, meet certain disability requirements), Be impaired by physical limitations, Choose to receive services in your home or community instead of a nursing home, and Participate in only one waiver program at a time. Provider agency must have the legal right to conduct business in the State of Georgia (i.e., current business license or other proof of legal authorization) b. What is the best number to call to get started? An official website of the State of Georgia. An official website of the State of Georgia. <> Georgia's Medicaid Waivers & Programs . An official website of the State of Georgia. x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o X`g(_;6y~c|Y'CUzWcJ`n?jLuQ N9|7A~B (|8dmc?w-wb_Aba THUa^D>4?:'jg/p|,cgi,mKW\I$S~YNwG5.L-gj9~Q ;0F02 q ?RhA+v5\*k8kqiFyAJ4$g9?H~w(;) Ck{r~i~Y1wyU1X.M C 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_ hbbd``b`$0 H8ED|V@5W8d100R + Click here for help and information about bookmarks. To apply for services contact a GAPP provider agency directly. An official website of the State of Georgia. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. Medicaid. A guide to Medicaid Waiver Programs in Georgia is now available. However, ARC does provide CCSP Provider Consults for those providers that will provide service in Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry,or Rockdale counties. Potential Provider Information . User Information PDF Reader Required CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Search the NPI Registry. Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. CX zoX-8IHH=mhX&Z4&kjI[%w$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. access the NOW Draft Application click here. Amendment Application for Georgias Elderly & Disabled Waiver Program 215 0 obj <>stream 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. Each program offers several "core" services: Additional services are available under each program. You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. 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 Both manuals can be found in the Medicaid web portal under Policy Manuals. lock 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. 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. Local, state, and federal government websites often end in .gov. i If youre unable to apply online using PECOS, you can use a paper application form. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# - Updated 3/10/20. All Rights Reserved. An official website of the State of Georgia. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. 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. 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. The following is a list of waiver programs in Georgia. Ready to become a Medicare provider or supplier? 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). 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. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! website belongs to an official government organization in the United States. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Become a Medicaid provider. 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). bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). 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. R (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). A complete list of Medicaid . ) and 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 Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. 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. 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). 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. COMP Amendment Application for Comprehensive Supports Waiver Program HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; You may view the appropriate policies, Recruitment and Application to Become a Provider of Developmental Disability Services, 02-701, Recruitment and Application to become a Provider of Behavioral Health Services, 01-111, Financial and Reporting Requirements for Community Providers, 21-101. are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website: https://dbhdd.georgia.gov/community-provider-manuals, Provider Manual for Community Behavioral Health Providers, Provider Manual for Community Developmental Disability Providers. How you know. Before sharing sensitive or personal information, make sure youre on an official state website. >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ ]O'C - Posted 02/16/21, New You can also contact GMCF at www.gmcf.org. 2023 Atlanta Regional Commission. Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. Local, state, and federal government websites often end in .gov. Applications are accepted by DCH in March and September of each year. 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 . 2 0 obj 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. 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. endobj ). 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 <> 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. For questions, contactccsp.messages@dch.ga.gov. PIQ ~R(P1 ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" 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. 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. endobj <> A list of the applicable manuals is below. Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. "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? Not sure if you have an NPI? 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. \q~4za\c5f For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. (706) 792-7741 OR (800) 348-3503. All Contacts. Waiver CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. zi>n[q@. This guide will help you enroll in three steps. - Posted 3/29/19. endobj A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. +V:NvRXA1/Nari4V For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. 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. Medicaid Waiver 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). How do I know if I am in the right place? h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, Medicare is a federal program. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. Sign up to get the latest information about your choice of CMS topics. Contact your MAC (PDF). The waiver has been approved for a five-year period effective April 1, 2021. 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. We're here to help. A guide to Medicaid Waiver Programs in Georgia is now available. 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. Care Services Program (CCSP Apply for Medicaid Medicaid has several programs that can help you or your family. HVKo8WH(K@Q E]n=j/8jCdYi)f7B 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. about a provider in your area call: 404.657-7211 Division of Medical Assistance Plans under the Department of Community Health . 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. Care Waiver Program (ICWP) Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. This email will contain information regarding New Provider Orientation. How you know. In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. If you applied using a paper application, youll need to resubmit your form to update information. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Contact Your MAC (PDF). 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. endobj 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. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 A list of the applicable manuals is below. How you know. 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. GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. endstream endobj startxref QR c>stream M\}v4 An official website of the State of 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. We're here to help. For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. 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.

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