A guide to Medicaid Waiver Programs in Georgia is now available. Local, state, and federal government websites often end in .gov. Apply for DD Services | Georgia Department of Behavioral Health and hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? Georgia is enrolling board certified behavioral analysts to provide ABS. <> 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. PIQ ~R(P1 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. zi>n[q@. . The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. Waiver Renewal Application 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. 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. bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). CX Care Waiver Program (ICWP) Many state waivers also offer a single reimbursement of between $40 - $200 intended to cover any installation or startup fees associated with a PERS service. Gather What You'll Need A list of the applicable manuals is below. Toll Free: (877) 423-4746. An official website of the State of Georgia. - Posted 02/16/21, New Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. Services are provided in their homes and communities and includenursing services to address the need for skilled professional services and personal care support services that assist with activities of daily living. If the DCH application is approved, DBHDD will notify you via an email communication of your approval as either a BH or I/DD Provider. endstream An official website of the State of Georgia. 5 ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. access the EDWP Public Notice click here. Intellectual & Developmental Disabilities, Applications for New & Existing Providers, Improving Health Outcomes Initiative Collaborative Learning Center, How to Report a Concern or Complaint about the Quality of Care or Safety. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. Section 1135 Waiver Flexibilities Coronavirus Disease 2019 (COVID-19) Unwinding and Returning to Regular Operations after COVID-19 Medicaid and CHIP Resources CMCS Medicaid and CHIP All State Calls State Waiver and Amendment Approvals Tools and Checklists for States Other Agency Guidance Press Releases SPA and 1915 Waiver Processing To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. N.4q]KXc''}iR@:`9~d`'a^[JB(ZIG`+0 t}qS`^:},?6S)^W:W>ezjWI]e {Y}Z0p OGUH F`Rd#0@PvRzxDSL] %M1e2^3ba vEZes6bw>/4"|/8:K[5,K\4tvK$&K~ .g\7C%Uw=}gS=t/*/fr. 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. I. 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 apply for an NPI on the NPPES website. Personal Emergency Response Services (PERS) & Medicaid hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! hmO6?}`w h! Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. 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. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. Many people qualify to receive Medicaid, but first you have to apply. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. lock To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Potential CCSP Provider Pathway - Georgia the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . Medicaid Waiver Thank you for your interest in becoming a provider for DBHDD! endobj Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. 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 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). 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. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> An official website of the State of Georgia. )aa:bdF:. ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v FAQs The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. click YouTube page for Georgia Medicaid; How can we help? ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" Heres how you know. Your MAC can help you navigate the enrollment process and answer questions about your application. %PDF-1.5 % xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y Community An official website of the State of Georgia. 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 (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. - Updated 3/10/20. If you applied using a paper application, youll need to resubmit your form to update information. 2023 Atlanta Regional Commission. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. 3 0 obj Potential CCSP Provider . Medicaid Waivers - Georgia Health How do I know if I am in the right place? 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. 3 . A list of the applicable manuals is below. To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. <> Local, state, and federal government websites often end in .gov. . lock A list of the applicable manuals is below. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. This guide will help you enroll in three steps. Secure .gov websites use HTTPSA ]v&'0 pHin@ hf9^ HVn8}W#YDH 5 0 obj 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. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . How Do I Become A Provider? - Georgia Department of Behavioral Health A guide to Medicaid Waiver Programs in Georgia is now available. '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y 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). Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. 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). Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. 183 0 obj <> endobj Primary: (404) 657-5468. The CCSP Provider Consult is not a general information session. endobj Search the NPI Registry. ( Become a Medicaid provider | Division of Aging Services - Georgia TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. NPIs are issued through the National Plan & Provider Enumeration System (NPPES). Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. Public Notice for 1915(c) Elderly and Disabled (E&D) Waiver Once the LOI has been approved, you will receive an invitation to apply. Medicare Program; Medicare Disproportionate Share Hospital (DSH - Updated 3/10/20. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Georgia Medicaid Waiver FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\ U3:dw!#hYD8C"L "DFV%2*UG`p=FQ1jf*DW!ru^=W1^Ipl7 .(6D!,M|YK` access the NOW Draft Application click here. 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^^+* In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. Each program offers several "core" services: Additional services are available under each program. Enrollment - Georgia A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. %%EOF How you know. An official website of the State of Georgia. 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. endstream endobj 188 0 obj <>stream Before sharing sensitive or personal information, make sure youre on an official state website. - Posted 3/29/19. You can decide how often to receive updates. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Amendment Application for Georgias Elderly & Disabled Waiver Program 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. website belongs to an official government organization in the United States. How you know. To apply for services contact a GAPP provider agency directly. Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 +V:NvRXA1/Nari4V 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. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. If you applied online, you can keep your information up to date in PECOS. Georgia Medicaid Waivers - Georgia Council on Developmental - GCDD 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. We're here to help. 6 0 obj 2 0 obj 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). 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. 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. Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. u_P6l@ul %Z=*JFx])(u=h7VY``KN`"F43FT bq0I\&{U\yCv^_x]uvEaxA&ems- EgV+$10l.R!,x?U?EVusxp9VsaVrn{jq5bSTtf[#uvRet N|CNxRo~zZ,w9_/{Xoq zqow+^_ujd(bQPwWn7}Azhu[T_ Pursuant to 42 C.F.R. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Online Form. y(v3Dlq+d9f{yv+M1NZB)"8Sun)8KB"$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 PDF A Guide to Medicaid Waiver Programs in Georgia