Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. 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. 7 0 obj <>>> State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Medicaid Waiver 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. C;y}r_a^mTN\; y~%[Bd\;iPC#_I The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. How do I know if I am in the right place? (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. Primary: (404) 657-5468. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! The Program Specialist may occasionally send Banner messages through web portal for important notifications. 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_ 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. endstream A list of the applicable manuals is below. 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. CCSP recipients have a monthly income between $400 and $2523 per month. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. )aa:bdF:. Enroll using PECOS,i the online Medicare enrollment system. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. access the EDWP Public Notice click here. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) Become a Medicaid Waiver Provider - Empowerline 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. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ Heres how you know. about a provider in your area call: 404.657-7211 Division of Medical Assistance Plans under the Department of Community Health . An official website of the State of Georgia. 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. Call Us. %PDF-1.5 access the EDWP Draft Application click here. How you know. You may access this form here: https://www.georgiacollaborative.com/providers/forms/. Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. Providers can also enroll to become a participating provider using the Enrollment Wizard . Local, state, and federal government websites often end in .gov. For details about this waiver renewal, 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. This guide will help you enroll in three steps. Sign up to get the latest information about your choice of CMS topics. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? ) and Learn more Renew Medicaid Benefits <> 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 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$g9?H~w(;) Ck{r~i~Y1wyU1X.M C sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS Providers | Georgia Medicaid An official website of the State of Georgia. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. The Medicaid program canand does (through Medicaid DSH payments)subsidize the treatment of low-income, uninsured patients without making those individuals eligible for "medical assistance," as that phrase is used in the statute. 2023 Atlanta Regional Commission. Public Notice for 1915(c) Elderly and Disabled (E&D) Waiver 4 0 obj The Contact Us | Medicaid ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" endstream endobj 187 0 obj <>stream All Contacts. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. As an interested BH provider, you will find it helpful to review the Medicaid Provider Manual for Behavioral Health Services on the GAMMIS website at the following link: Community Behavioral Health Rehabilitation Services , Facebook page for Georgia Department of Behavioral Health and Developmental Disabilities, Twitter page for Georgia Department of Behavioral Health and Developmental Disabilities, Linkedin page for Georgia Department of Behavioral Health and Developmental Disabilities, Addictive Diseases Training Announcements, Cultural and Linguistic Competence Training Series: Diversity Works, Developmental Disabilities Training Announcements, Enterprise Compliance & Background Investigations FAQs. Thank you for your interest in becoming a provider for DBHDD! zoX-8IHH=mhX&Z4&kjI[%w$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. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v 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. Georgia's Medicaid Waivers & Programs . To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). 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. HVn8}W#YDH PIQ ~R(P1 Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) The following is a list of waiver programs in Georgia. 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 . For questions, contactccsp.messages@dch.ga.gov. An official website of the State of Georgia. All Rights Reserved. Community A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . Before sharing sensitive or personal information, make sure youre on an official state website. Potential Provider Information . I. 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. You can also check in with your MAC regarding your enrollment status. 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 2 0 obj - Updated 3/10/20. HVKo8WH(K@Q E]n=j/8jCdYi)f7B ]O'C Local, state, and federal government websites often end in .gov. A complete list of Medicaid . Georgia Medicaid Waiver For more information on how to apply, visit Georgia's Department of Community Health website. If you applied online, you can keep your information up to date in PECOS. 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. to Medicaid members. As an interested BH provider, you will find it helpful to review the Medicaid Provider Manual for Behavioral Health Services on the GAMMIS website at the following link:https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. 6 0 obj Enrollment Forms - Georgia https:// access the NOW Draft Application click here. Apply for Medicaid Medicaid has several programs that can help you or your family. Per DCH policy you must wait one (1) year before submitting another application. How you know. Apply for Elderly and Disabled Waiver Program | Georgia.gov Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Waiver Potential Provider Information . (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. (u0o"q Bt$ Il&0t}V%YXe-'37# or NPIs are issued through the National Plan & Provider Enumeration System (NPPES). If the DCH application is denied, you are notified by DCH and advised of the next steps. 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). 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. endobj Georgia is enrolling board certified behavioral analysts to provide ABS. <> 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 An official website of the United States government 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). Personal Emergency Response Services (PERS) & Medicaid - Posted 3/29/19. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. ) State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Secure .gov websites use HTTPSA To apply for services contact a GAPP provider agency directly. A guide to Medicaid Waiver Programs in Georgia is now available. Options Using Resources in a Community Environment (SOURCE User Information PDF Reader Required Become a Medicaid provider | Division of Aging Services - Georgia 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. 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). QR c>stream 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). ). 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. Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. . Enrollment - Georgia If you applied using a paper application, youll need to resubmit your form to update information. 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! Click here for help and information about bookmarks. For more information on how to apply, visitGeorgias Department of Community Health website. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Its important to keep your enrollment information up to date. For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. Both manuals can be found in the Medicaid web portal under Policy Manuals. Online Form. 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. <> website belongs to an official government organization in the United States. PDF A Guide to Medicaid Waiver Programs in Georgia Complete the online PECOS application. Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. lock here This email will contain information regarding New Provider Orientation. 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. 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 ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. - Posted 2/21/19, Waiver Medicaid. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. Georgia Pediatric Program (GAPP) Apply for DD Services | Georgia Department of Behavioral Health and The CCSP Provider Consult is not a general information session. The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. endobj HCBS | Georgia Department of Community Health '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. A guide to Medicaid Waiver Programs in Georgia is now available.