Before sharing sensitive or personal information, make sure youre on an official state website. Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. 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. 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. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a 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. 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. Enroll using PECOS,i the online Medicare enrollment system. endobj User Information PDF Reader Required here Links to the public notices and draft waiver applications are listed below. 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. COMP Share sensitive information only on official, secure websites. M\}v4 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. 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. (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Medicare is a federal program. endstream endobj 188 0 obj <>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). A guide to Medicaid Waiver Programs in Georgia is now available. Learn more Renew Medicaid Benefits The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. An official website of the State of Georgia. 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. 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. 7 0 obj Local, state, and federal government websites often end in .gov. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 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. 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. 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. . Not sure if you have an NPI? %PDF-1.5 xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y %%EOF Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Applications are accepted by DCH in March and September of each year. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. Care Services Program (CCSP 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. website belongs to an official government organization in the United States. Waiver Renewal Application To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). 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 l`JV``X An official website of the State of Georgia. We could be the answer you've . Providers can also enroll to become a participating provider using the Enrollment Wizard . Online Form. This guide will help you enroll in three steps. <> p?.e^Tv+2,[P3-Nj` @Fy Pursuant to 42 C.F.R. ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. % 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 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. Heres how you know. Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. An official website of the United States government Before sharing sensitive or personal information, make sure you're on an official state website. Toll Free: (877) 423-4746. the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. A list of the applicable manuals is below. sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS R endobj (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. 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$Rm0, yRLo_g^:ULoBJ u84e)\.RP~)ffje__7_WOmp/g9s__k]0oN5kl]0 OT}gq^_i^^+* To sign up for a CCSP Provider Consult, please visit ourEventbrite pageto complete the registration (select the date you would like to attend in the drop-down box at the top). hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! <>>> ]v&'0 pHin@ hf9^ <> CCSP recipients have a monthly income between $400 and $2523 per month. {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\ U3:dw!#hYD8C"L "DFV%2*UG`p=FQ1jf*DW!ru^=W1^Ipl7 .(6D!,M|YK` A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. endstream endobj startxref Secure .gov websites use HTTPSA Gather What You'll Need All Contacts. You can also contact GMCF at www.gmcf.org . 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. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. 3 0 obj ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. YouTube page for Georgia Medicaid; How can we help? 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. See if you qualify and apply for benefits. Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. See, for example, Adena Regional Medical Center v. Options Using Resources in a Community Environment (SOURCE 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. 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. or As a general rule of thumb, in 2022, senior applicants for a HCBS Waiver are limited to $2,523 / month in income and $2,000 in assets. HCBS Guide (4.17 MB) Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or ICF-MR. HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; - Posted 02/16/21, New 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. *x(Pi An official website of the State of Georgia. 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 stream Local, state, and federal government websites often end in .gov. lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ 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. Some of those are described in this guide and include Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. How you know. For questions, contactccsp.messages@dch.ga.gov. endstream ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" 4 0 obj State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. Email Us. 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). 215 0 obj <>stream For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. Many people qualify to receive Medicaid, but first you have to apply. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. 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. How you know. Care Waiver Program (ICWP) ). click to complete the registration (select the date you would like to attend in the drop-down box at the top). endobj }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? 1 0 obj Potential Provider Information . Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Medicaid Waiver For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. 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. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. Potential Provider Information . To be eligible for Medicare, a . 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. access the NOW Draft Application click here. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. 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. If you applied using a paper application, youll need to resubmit your form to update information. 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 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). PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! Applications are accepted by DCH in March and September of each year. 0 How you know. The 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 Primary: (404) 657-5468. - Posted 3/29/19. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) I. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. You can also contact GMCF at www.gmcf.org. Waiver We're here to help. An official website of the State of Georgia. ) We're here to help. For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. A complete list of Medicaid . 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. 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. endobj Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. The 12 ADRC offices are identified by counties served. to Medicaid members. If the DCH application is denied, you are notified by DCH and advised of the next steps. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. BIL> +x! Each state has its own waivers and each waiver, its own policy. This email will contain information regarding New Provider Orientation. The Program Specialist may occasionally send Banner messages through web portal for important notifications. 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. Provides services to medically fragile children with multiple system diagnoses. 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. Medicaid provides access to free and low-cost medical care in Georgia. 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 How do I know if I am in the right place? For more information on how to apply, visit Georgia's Department of Community Health website. You can decide how often to receive updates. Community You will submit either the I/DD or BH Agency Provider Letter of Intent (LOI) or I/DD Individual Provider LOI during the applicable open enrollment period. Local, state, and federal government websites often end in .gov. All Rights Reserved. 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. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. HVn8}W#YDH 2 0 obj h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. How you know. 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 The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. 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
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