You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. See if you qualify and apply for benefits. QR c>stream 4 0 obj Medicaid SOURCE Waiver - Receive Homecare or Skilled Nursing Care at No ]v&'0 pHin@ hf9^ You can also contact GMCF at www.gmcf.org. .gov User Information - Georgia Search the NPI Registry. You may access this form here: https://www.georgiacollaborative.com/providers/forms/. 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. I. CX 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 . Before sharing sensitive or personal information, make sure youre on an official state website. stream or 2 0 obj Before sharing sensitive or personal information, make sure youre on an official state website. obtain a clear understanding of this Medicaid Waiver. Applications are accepted by DCH in March and September of each year. 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). Many people qualify to receive Medicaid, but first you have to apply. For more information on how to apply, visitGeorgias Department of Community Health website. Toll Free: (877) 423-4746. An official website of the State of Georgia. Georgia Medicaid | Georgia.gov Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. l`JV``X 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. An official website of the State of Georgia. access the EDWP Draft Application click here. PDF Potential CCSP Provider Pathway - Georgia 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. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. Care Services Program (CCSP State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. 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. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Local, state, and federal government websites often end in .gov. 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. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. M\}v4 Become a Medicaid Waiver Provider - Empowerline <> Waiver BIL> +x! COMP - Updated 3/10/20. 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. - Updated 3/10/20. J0xhcni).P~EJRt l ^E`>XBI!_~ State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. . Contact your MAC (PDF). Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. 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 Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Heres how you know. CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. 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. CCSP recipients have a monthly income between $400 and $2523 per month. The 12 ADRC offices are identified by counties served. Medicaid Waiver Programs | Georgia.gov u_P6l@ul %Z=*JFx])(u=h7VY``KN`"F43FT bq0I\&{U\yCv^_x]uvEaxA&ems- EgV+$10l.R!,x?U?EVusxp9VsaVrn{jq5bSTtf[#uvRet N|CNxRo~zZ,w9_/{Xoq zqow+^_ujd(bQPwWn7}Azhu[T_ %PDF-1.5 Applications are accepted by DCH in March and September of each year. (In this case, you would need to, You want to enroll as a supplier who does not dispense or furnish durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). <> <> To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. We are the front desk for people who need help navigating life changes and surprise obstacles in their homes, with their health, and in their communities. endstream {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\ U3:dw!#hYD8C"L "DFV%2*UG`p=FQ1jf*DW!ru^=W1^Ipl7 .(6D!,M|YK` Apply for Medicaid Medicaid has several programs that can help you or your family. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. Once the LOI has been approved, you will receive an invitation to apply. Some of those are described in this guide and include Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. endstream endobj 187 0 obj <>stream 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. 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. 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. Autism Spectrum Disorder | Georgia Medicaid endobj Contact Your MAC (PDF). 2023 Atlanta Regional Commission. the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . %%EOF The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. 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. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Potential CCSP Provider . Providers can also enroll to become a participating provider using the Enrollment Wizard . 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. Contact Us | Medicaid Local, state, and federal government websites often end in .gov. The following is a list of waiver programs in Georgia. 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. 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. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. What is the best number to call to get started? 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). Learn more Renew Medicaid Benefits +V:NvRXA1/Nari4V 1 0 obj If you applied online, you can keep your information up to date in PECOS. I. . Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. Both manuals can be found in the Medicaid web portal under Policy Manuals. An official website of the State of Georgia. 5 Medicaid. An official website of the State of Georgia. means youve safely connected to the .gov website. Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. Call Us. An official website of the State of Georgia. website belongs to an official government organization in the United States. To be eligible for Medicare, a . 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. 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. xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y The X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . Public Notice for 1915(c) Elderly and Disabled (E&D) Waiver For questions, contactccsp.messages@dch.ga.gov. ) and Gather What You'll Need sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS HCBS Waiver Provider Application Process | dds To apply for services contact a GAPP provider agency directly. You can decide how often to receive updates. The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. 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. %PDF-1.5 % 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 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. Amendment Application for Comprehensive Supports Waiver Program CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. endobj Ready to become a Medicare provider or supplier? HVKo8WH(K@Q E]n=j/8jCdYi)f7B How you know. >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ The waiver has been approved for a five-year period effective April 1, 2021. HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; 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. Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) 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. A complete list of Medicaid . Become a Medicaid provider. Each program offers several "core" services: Additional services are available under each program. @ S Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. All Contacts. For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. A list of the applicable manuals is below. Enrollment Forms - Georgia h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, 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. 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 Thank you for your interest in becoming a provider for DBHDD! lock Become a Medicaid provider | Division of Aging Services - Georgia }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v 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). 0 Local, state, and federal government websites often end in .gov. ) At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. For details about this waiver renewal, 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. 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 State of Georgia. bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). 215 0 obj <>stream You can apply for an NPI on the NPPES website. 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. i If youre unable to apply online using PECOS, you can use a paper application form. 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. 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. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. User Information PDF Reader Required Each state has its own waivers and each waiver, its own policy. 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).