CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. endobj Share sensitive information only on official, secure websites. CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. u_P6l@ul %Z=*JFx])(u=h7VY``KN`"F43FT bq0I\&{U\yCv^_x]uvEaxA&ems- EgV+$10l.R!,x?U?EVusxp9VsaVrn{jq5bSTtf[#uvRet N|CNxRo~zZ,w9_/{Xoq zqow+^_ujd(bQPwWn7}Azhu[T_ Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. Potential Provider Information . ) - Updated 3/10/20. Medicaid provides access to free and low-cost medical care in Georgia. ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" NPIs are issued through the National Plan & Provider Enumeration System (NPPES). sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS or . Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. Local, state, and federal government websites often end in .gov. The Georgia Medicaid Management Information System (GAMMIS) serves as the primary web portal for Medicaid, PeachCare for Kids and all related waiver programs administered by the Department of Community Health's Medical Assistance Plans Division. \q~4za\c5f <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> All Contacts. zoX-8IHH=mhX&Z4&kjI[%w$WTdsalTLbBaCVnPm+E:YYel dadBwi,0>ldbuSUqQ47Z"ZWjU\ES-juSn*TY=#R:EGMs@sxNH.&trZX/fb-SS\i:}%{qjCm"nSkHl$,?z-#=k?zGTHr|&aiR>Z`oNI}c^0jv+Z-+qmN4kGTni@y3zd O'lg[(6+mOK>>a?I/3?.~#cX9y|/I. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Local, state, and federal government websites often end in .gov. Contact Your MAC (PDF). Public Notice for 1915(c) Elderly and Disabled (E&D) Waiver U%:I("r-*gQF+'W8>wT, HjF website belongs to an official government organization in the United States. Persons served through the CCSP Program must be eligible for Medicaid and meet the following requirements: Have cognitive and or physical impairments/limitations which make it difficult to perform normal daily living activities and live independently Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. Georgia's Medicaid Waivers & Programs . This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. J0xhcni).P~EJRt l ^E`>XBI!_~ The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. PDF Potential CCSP Provider Pathway - Georgia Community However, misconceptions Read More, As Metro Atlantas Area Agency on Aging, ARC Serves Needs of Older Residents As the planning agency for the Atlanta region, the Atlanta Regional Commission Read More. - Posted 3/29/19. endobj Potential Provider Information . A list of the applicable manuals is below. ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. HCBS Guide (4.17 MB) Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or ICF-MR. Medicaid SOURCE Waiver - Receive Homecare or Skilled Nursing Care at No HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! An official website of the State of Georgia. (In this case, you would need to, You want to enroll as a supplier who does not dispense or furnish durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Its important to keep your enrollment information up to date. Before sharing sensitive or personal information, make sure youre on an official state website. Your Medicare Administrative Contractor (MAC) is specific to the region where you practice and may have additional requests for information while they process your application. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. Enroll using PECOS,i the online Medicare enrollment system. Medicaid Waiver Programs | Georgia.gov At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. See if you qualify and apply for benefits. An official website of the State of Georgia. A complete list of Medicaid . PDF A Guide to Medicaid Waiver Programs in Georgia State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. 2023 Atlanta Regional Commission. To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). If you applied online, you can keep your information up to date in PECOS. hmO6?}`w h! PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! Toll Free: (877) 423-4746. 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 Medicaid members. 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 % 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. 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. '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y ) and hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! Georgia is enrolling board certified behavioral analysts to provide ABS. 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. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. 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. - Updated 3/10/20. Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. PIQ ~R(P1 %PDF-1.5 h]|;nO73xiKD9 &t&|4>F3 Hd""W;S|i~00T|Attq{pcE^kTuU"c`rwLfT|HLn q. Amendment Application for Comprehensive Supports Waiver Program Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Independent hbbd``b`$0 H8ED|V@5W8d100R + Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. Secure .gov websites use HTTPSA Primary: (404) 657-5468. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? Before sharing sensitive or personal information, make sure youre on an official state website. Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes Click here for help and information about bookmarks. endobj Apply for Elderly and Disabled Waiver Program | Georgia.gov As a general rule of thumb, in 2022, senior applicants for a HCBS Waiver are limited to $2,523 / month in income and $2,000 in assets. Provides services to medically fragile children with multiple system diagnoses. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. Applications are accepted by DCH in March and September of each year. However, ARC does provide CCSP Provider Consults for those providers that will provide service in Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry,or Rockdale counties. Before sharing sensitive or personal information, make sure youre on an official state website. How you know. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) Waiver Programs | Georgia Medicaid ]O'C What is the best number to call to get started? %%EOF See, for example, Adena Regional Medical Center v. To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. If you applied using a paper application, youll need to resubmit your form to update information. Apply to become a Medicaid Waiver Provider To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). The Program Specialist may occasionally send Banner messages through web portal for important notifications. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v 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. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. 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. 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. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. 215 0 obj <>stream 7 0 obj 5 0 obj CX Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. Before sharing sensitive or personal information, make sure youre on an official state website. 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. User Information - Georgia 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. %PDF-1.6 % Some of those are described in this guide and include endobj Official websites use .govA %PDF-1.5 % Thank you for your interest in becoming a provider for DBHDD! HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; 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. Personal Emergency Response Services (PERS) & Medicaid 3 0 obj Medicare Program; Medicare Disproportionate Share Hospital (DSH 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. 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. BIL> +x! A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. I. 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). How do I know if I am in the right place? zi>n[q@. CCSP recipients have a monthly income between $400 and $2523 per month. Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Apply for DD Services | Georgia Department of Behavioral Health and Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. 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). 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). The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. Many people qualify to receive Medicaid, but first you have to apply. Your MAC can help you navigate the enrollment process and answer questions about your application. 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 more information on how to apply, visit Georgia's Department of Community Health website. An official website of the United States government ]v&'0 pHin@ hf9^ Medicaid Waiver The PDF Service Options Using Resources in a Community Environment (SOURCE) Medicaid Waivers - Georgia Health Service stream access the EDWP Draft Application click here. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. You can apply for an NPI on the NPPES website. I@N( dA)H@3dD@(YC7'4 An official website of the State of Georgia. M\}v4 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. For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. For questions, contactccsp.messages@dch.ga.gov. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. <> An official website of the State of Georgia. Local, state, and federal government websites often end in .gov. You can also contact GMCF at www.gmcf.org . You may view the appropriate policies, Recruitment and Application to Become a Provider of Developmental Disability Services, 02-701, Recruitment and Application to become a Provider of Behavioral Health Services, 01-111, Financial and Reporting Requirements for Community Providers, 21-101. are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website: https://dbhdd.georgia.gov/community-provider-manuals, Provider Manual for Community Behavioral Health Providers, Provider Manual for Community Developmental Disability Providers. All Rights Reserved. . PDF Georgia's Medicaid Waivers & Programs - Georgia Department of Education Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 Special Notice:Ending July 1, 2022, the Department of Community Health accepted public comment for a 30-day period on the New Options Waiver (NOW) and the Elderly and Disabled Waiver Program (EDWP) to renew both waiver programs. Visit the DCH waivers webpage at: https://dch.georgia.gov/waivers September 2017 Georgia Department of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404 . <> Apply for Medicaid Medicaid has several programs that can help you or your family. The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. Contact Us | Medicaid "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r >oT->+ L}$\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? (706) 792-7741 OR (800) 348-3503. 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. This email will contain information regarding New Provider Orientation. Become a Medicare Provider or Supplier | CMS A list of the applicable manuals is below. Community Care Services Program Waiver (CCSP) - Health Force of Georgia (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered 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. ). Empowerline is here to help. Providers | Georgia Medicaid Per DCH policy you must wait one (1) year before submitting another application. Learn more Renew Medicaid Benefits You can also check in with your MAC regarding your enrollment status. 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. COMP 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. 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. Potential CCSP Provider . 451 0 obj <>stream Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. p?.e^Tv+2,[P3-Nj` @Fy Options Using Resources in a Community Environment (SOURCE To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). endobj 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). HCBS | Georgia Department of Community Health Local, state, and federal government websites often end in .gov. 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). User Information PDF Reader Required The 12 ADRC offices are identified by counties served. xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y Links to the public notices and draft waiver applications are listed below. 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. Search the NPI Registry. The CCSP Provider Consult is not a general information session. endstream 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. 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). 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. For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 means youve safely connected to the .gov website. Gather What You'll Need The following is a list of waiver programs in Georgia. I. To apply for services contact a GAPP provider agency directly. To provide services in other counties, you can find the appropriate AAA at, To sign up for a CCSP Provider Consult, please visit our. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. Georgia Pediatric Program (GAPP) h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&,