Potential CCSP Provider Pathway - Georgia If you applied using a paper application, youll need to resubmit your form to update information. +V:NvRXA1/Nari4V Per DCH policy you must wait one (1) year before submitting another application. 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. You can also contact GMCF at www.gmcf.org . Before sharing sensitive or personal information, make sure youre on an official state website. Georgia Medicaid | Georgia.gov (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. Potential Provider Information . xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y 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. 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). Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. 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$&K~ .g\7C%Uw=}gS=t/*/fr. If the DCH application is approved, DBHDD will notify you via an email communication of your approval as either a BH or I/DD Provider. ) and Care Services Program (CCSP h]|;nO73xiKD9 &t&|4>F3 Hd""W;S|i~00T|Attq{pcE^kTuU"c`rwLfT|HLn q. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> You will submit either the I/DD or BH Agency Provider Letter of Intent (LOI) or I/DD Individual Provider LOI during the applicable open enrollment period. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. C;y}r_a^mTN\; y~%[Bd\;iPC#_I Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. The CCSP Provider Consult is not a general information session. Become a Medicare Provider or Supplier | CMS x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o X`g(_;6y~c|Y'CUzWcJ`n?jLuQ N9|7A~B (|8dmc?w-wb_Aba THUa^D>4?:'jg/p|,cgi,mKW\I$S~YNwG5.L-gj9~Q ;0F02 q ?RhA+v5\*k8kqiFyAJ4$g9?H~w(;) Ck{r~i~Y1wyU1X.M C 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. Applications are accepted by DCH in March and September of each year. Local, state, and federal government websites often end in .gov. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. Each program offers several "core" services: Additional services are available under each program. Waiver Renewal Application bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). %PDF-1.6 % 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. CCSP recipients have a monthly income between $400 and $2523 per month. Once the LOI has been approved, you will receive an invitation to apply. Many people qualify to receive Medicaid, but first you have to apply. You can also contact GMCF at www.gmcf.org. The Program Specialist may occasionally send Banner messages through web portal for important notifications. {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\ U3:dw!#hYD8C"L "DFV%2*UG`p=FQ1jf*DW!ru^=W1^Ipl7 .(6D!,M|YK` Both manuals can be found in the Medicaid web portal under Policy Manuals. PDF Georgia's Medicaid Waivers & Programs - Georgia Department of Education Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. Local, state, and federal government websites often end in .gov. *x(Pi 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). Gather What You'll Need 2023 Atlanta Regional Commission. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. Georgia Medicaid Waivers - Georgia Council on Developmental - GCDD endobj CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Enrollment Forms - Georgia All Contacts. 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. lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ See if you qualify and apply for benefits. Toll Free: (877) 423-4746. 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. Georgia's Medicaid Waivers & Programs . 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. Waiver Programs | Georgia Medicaid Pursuant to 42 C.F.R. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . How you know. (706) 792-7741 OR (800) 348-3503. The 12 ADRC offices are identified by counties served. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Public Notice for 1915(c) Elderly and Disabled (E&D) Waiver Empowerline is here to help. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 215 0 obj <>stream 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. An official website of the State of Georgia. - Updated 3/10/20. Its important to keep your enrollment information up to date. 451 0 obj <>stream User Information PDF Reader Required Secure .gov websites use HTTPSA Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. To be eligible for Medicare, a . 5 <> An official website of the State of Georgia. Share sensitive information only on official, secure websites. to Medicaid members. 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. ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 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. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. You can decide how often to receive updates. What is a Medicaid waiver program? - Medical News Today I. 4 0 obj How you know. Provider News. Medicaid provides access to free and low-cost medical care in Georgia. 0 p?.e^Tv+2,[P3-Nj` @Fy 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$,?z-#=k?zGTHr|&aiR>Z`oNI}c^0jv+Z-+qmN4kGTni@y3zd O'lg[(6+mOK>>a?I/3?.~#cX9y|/I. means youve safely connected to the .gov website. PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! You can apply for an NPI on the NPPES website. To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. - Updated 3/10/20. 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. 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. An official website of the State of Georgia. "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? 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 Become a Medicaid provider | Division of Aging Services - Georgia - Posted 3/29/19. or To apply for services contact a GAPP provider agency directly. . For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 Not sure if you have an NPI? 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. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. 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 state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. 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 [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v An official website of the State of Georgia. endobj HCBS Waiver Provider Application Process | dds 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. CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. 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. 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. 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 . Medicaid Waiver For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Provides services to medically fragile children with multiple system diagnoses. The waiver has been approved for a five-year period effective April 1, 2021. h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Applications are accepted by DCH in March and September of each year. How do I know if I am in the right place? Autism Spectrum Disorder | Georgia Medicaid The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. Amendment Application for Comprehensive Supports Waiver Program Georgia Provider - Amerigroup 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 In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. zi>n[q@. ( 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. Each state has its own waivers and each waiver, its own policy. Service Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Search the NPI Registry. 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. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# Potential Provider Information . 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 . Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. Email Us. Local, state, and federal government websites often end in .gov. 2 0 obj HVKo8WH(K@Q E]n=j/8jCdYi)f7B Local, state, and federal government websites often end in .gov. Medicaid SOURCE Waiver - Receive Homecare or Skilled Nursing Care at No - Updated 10/20/17. What is the best number to call to get started? The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? If the DCH application is denied, you are notified by DCH and advised of the next steps. Medicare is a federal program. endobj hmO6?}`w h! The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. COMP I@N( dA)H@3dD@(YC7'4 Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. We could be the answer you've . Before sharing sensitive or personal information, make sure youre on an official state website. Applications are accepted by DCH in March and September of each year. 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. ) Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. A complete list of Medicaid . This guide will help you enroll in three steps. This email will contain information regarding New Provider Orientation. NPIs are issued through the National Plan & Provider Enumeration System (NPPES). Before sharing sensitive or personal information, make sure youre on an official state website. How you know. Waiver Before sharing sensitive or personal information, make sure youre on an official state website. Apply for Medicaid Medicaid has several programs that can help you or your family. 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. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes 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. An official website of the State of Georgia. Contact Your MAC (PDF). HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; You may access this form here: https://www.georgiacollaborative.com/providers/forms/. Community Care Services Program Waiver (CCSP) - Health Force of Georgia New Provider Training - Georgia 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