Each program offers several "core" services: Additional services are available under each program. A complete list of Medicaid . 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. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 We could be the answer you've . 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 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. "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r >oT->+ L}$\ZSypts [}s[pYI._.jJ&*40)|[cPU|9V&=pC~7kj~xcR1>5>)`lB3{jgj|zu_3\O5c\j;2Ft(|5UdC /w.s}7U1242LV.2eH2*M[w+uFA:x7FX8ztjf#;R_kUMFUu2gKa7{=/9v@a*Uj3^ T 9srz>n.QI>dY294? CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. To avoid having your Medicare billing privileges revoked, be sure to report the following changes within 30 days: You must report all other changes within 90 days. \q~4za\c5f In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. endobj <>>> Local, state, and federal government websites often end in .gov. lock endstream TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# %%EOF p?.e^Tv+2,[P3-Nj` @Fy Become a Medicaid Waiver Provider - Empowerline If you applied using a paper application, youll need to resubmit your form to update information. Search the NPI Registry. ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" Contact Your MAC (PDF). An official website of the State of Georgia. How you know. Georgia is enrolling board certified behavioral analysts to provide ABS. Both manuals can be found in the Medicaid web portal under Policy Manuals. }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v - Posted 3/29/19. Applications are accepted by DCH in March and September of each year. Heres how you know. Apply for DD Services | Georgia Department of Behavioral Health and Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. Medicaid. Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. 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. 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. 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 ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. PDF Georgia's Medicaid Waivers & Programs - Georgia Department of Education To provide services in other counties, you can find the appropriate AAA at, To sign up for a CCSP Provider Consult, please visit our. Before sharing sensitive or personal information, make sure youre on an official state website. Secure .gov websites use HTTPSA To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. PDF Potential CCSP Provider Pathway - Georgia Medicare Program; Medicare Disproportionate Share Hospital (DSH )aa:bdF:. Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Potential CCSP Provider . 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. 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). 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. CX 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. Become a Medicaid provider. Enroll using PECOS,i the online Medicare enrollment system. To be eligible for NOW or COMP Medicaid Waiver services, a person must have an intellectual disability - or a closely related developmental disability, such as autism, cerebral palsy, or epilepsy - which substantially impairs intellectual or adaptive functioning. For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 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 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. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. An official website of the State of Georgia. 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. ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. endstream endobj 188 0 obj <>stream YouTube page for Georgia Medicaid; How can we help? 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. C;y}r_a^mTN\; y~%[Bd\;iPC#_I endobj Options Using Resources in a Community Environment (SOURCE Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. An official website of the State of Georgia. . What is a Medicaid waiver program? - Medical News Today 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. 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 Once the LOI has been approved, you will receive an invitation to apply. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. Applications are accepted by DCH in March and September of each year. A list of the applicable manuals is below. For more information on how to apply, visitGeorgias Department of Community Health website. A guide to Medicaid Waiver Programs in Georgia is now available. HVKo8WH(K@Q E]n=j/8jCdYi)f7B How do I know if I am in the right place? Community Care Services Program Waiver (CCSP) - Health Force of Georgia stream xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. Sign up to get the latest information about your choice of CMS topics. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). PIQ ~R(P1 3 . Georgia's Medicaid Waivers & Programs . Empowerline is here to help. Not sure if you have an NPI? <> Medicaid Waivers - Georgia Health Community (u0o"q Bt$ Il&0t}V%YXe-'37# 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. Independent For questions, contactccsp.messages@dch.ga.gov. 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. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . 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_ 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. Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. Learn more Renew Medicaid Benefits Before sharing sensitive or personal information, make sure youre on an official state website. 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 . 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. Providers | Georgia Department of Community Health here Public Notice for 1915(c) Elderly and Disabled (E&D) Waiver 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. 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). 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. The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered Georgia Pediatric Program (GAPP) Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. 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. M\}v4 <> 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 Elderly and Disabled Waiver Program | Georgia.gov Providers | Georgia Medicaid .gov You can also contact GMCF at www.gmcf.org . Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) 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 PDF A Guide to Medicaid Waiver Programs in Georgia Links to the public notices and draft waiver applications are listed below. Toll Free: (877) 423-4746. Pursuant to 42 C.F.R. 6 0 obj [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. We're here to help. These manuals, listed below, will provide you with the definition of services and the associated standards. ) If you applied online, you can keep your information up to date in PECOS. How you know. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. See if you qualify and apply for benefits. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 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$t1]MUL.5FZcAjdf(Z]g=-V6F0FAh%hdf^~|T#r }*UAXZ+s_ 9Pp!~0 >stream J0xhcni).P~EJRt l ^E`>XBI!_~ What is the best number to call to get started? Complete the online PECOS application. Contact your MAC (PDF). Enrollment Forms - Georgia As an interested I/DD provider, you will find it helpful to review the Medicaid Provider Manuals for both the Comprehensive Supports Waiver Program (COMP) and the New Options Waiver (NOW) Program. Email Us. Amendment Application for Georgias Elderly & Disabled Waiver Program For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Ready to become a Medicare provider or supplier? For your convenience, this section of our website was created to centralize information that may be particularly important to you as Medicaid and PeachCare for Kids providers. x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o X`g(_;6y~c|Y'CUzWcJ`n?jLuQ N9|7A~B (|8dmc?w-wb_Aba THUa^D>4?:'jg/p|,cgi,mKW\I$S~YNwG5.L-gj9~Q ;0F02 q ?RhA+v5\*k8kqiFyAJ4$g9?H~w(;) Ck{r~i~Y1wyU1X.M C Services must be recommended by a licensed physician or other licensed practitioner of the healing arts acting within their scope of practice under state law to prevent the progression of ASD, prolong life, and promote the physical and mental health of the individual. 2023 Atlanta Regional Commission. Official websites use .govA To be eligible for Medicare, a . Intellectual & Developmental Disabilities, Applications for New & Existing Providers, Improving Health Outcomes Initiative Collaborative Learning Center, How to Report a Concern or Complaint about the Quality of Care or Safety. HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Apply to become a Medicaid Waiver Provider To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). The 12 ADRC offices are identified by counties served. 215 0 obj <>stream Gather What You'll Need ). endobj See, for example, Adena Regional Medical Center v. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. i If youre unable to apply online using PECOS, you can use a paper application form. Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. PDF Service Options Using Resources in a Community Environment (SOURCE) Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. Contact Us | Medicaid ]O'C Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. about a provider in your area call: 404.657-7211 Division of Medical Assistance Plans under the Department of Community Health . HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. The waiver has been approved for a five-year period effective April 1, 2021. This guide will help you enroll in three steps. Care Services Program (CCSP Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. Before sharing sensitive or personal information, make sure youre on an official state website. Before sharing sensitive or personal information, make sure youre on an official state website. Medicaid provides access to free and low-cost medical care in Georgia. Local, state, and federal government websites often end in .gov. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. (xC]`)q6> ]v&'0 pHin@ hf9^ sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS The CCSP Provider Consult is not a general information session. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. An official website of the State of Georgia. 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. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. How you know. Become a Medicare Provider or Supplier | CMS To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. 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. Care Waiver Program (ICWP) PDF Georgia Medicaid Provider Enrollment Guide You may access this form here: https://www.georgiacollaborative.com/providers/forms/. 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. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. Local, state, and federal government websites often end in .gov. %PDF-1.5 % to complete the registration (select the date you would like to attend in the drop-down box at the top). - Posted 2/21/19, Waiver Some of those are described in this guide and include 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. 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. %PDF-1.5 State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. - Updated 10/20/17. This email will contain information regarding New Provider Orientation. Online Form. We are the front desk for people who need help navigating life changes and surprise obstacles in their homes, with their health, and in their communities. You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. Potential CCSP Provider Pathway - Georgia Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. means youve safely connected to the .gov website. hbbd``b`$0 H8ED|V@5W8d100R + In recent years, public understanding and support of transgender (also known as trans) people and the issues that impact them has generally grown. Provides services to medically fragile children with multiple system diagnoses. ) and Providers can also enroll to become a participating provider using the Enrollment Wizard . Thank you for your interest in becoming a provider for DBHDD! An official website of the State of Georgia. Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. A list of the applicable manuals is below. access the NOW Draft Application click here. lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ to Medicaid members. Service hmO6?}`w h! +V:NvRXA1/Nari4V click h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, As a general rule of thumb, in 2022, senior applicants for a HCBS Waiver are limited to $2,523 / month in income and $2,000 in assets. zoX-8IHH=mhX&Z4&kjI[%w$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. bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). HVn8}W#YDH Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 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.