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CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. U%:I("r-*gQF+'W8>wT, HjF Contact your MAC (PDF). 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. 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. 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. Gather What You'll Need Its important to keep your enrollment information up to date. lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ 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). Each program offers several "core" services: Additional services are available under each program. 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. Waiver Renewal Application 6 0 obj Heres how you know. "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r >oT->+ L}$\ZSypts [}s[pYI._.jJ&*40)|[cPU|9V&=pC~7kj~xcR1>5>)`lB3{jgj|zu_3\O5c\j;2Ft(|5UdC /w.s}7U1242LV.2eH2*M[w+uFA:x7FX8ztjf#;R_kUMFUu2gKa7{=/9v@a*Uj3^ T 9srz>n.QI>dY294? Your Medicare Administrative Contractor (MAC) is specific to the region where you practice and may have additional requests for information while they process your application. Your MAC can help you navigate the enrollment process and answer questions about your application. stream State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. User Information PDF Reader Required For those services that require a state license, your agency must already be licensed by the DCH Division of Healthcare Facility Regulation in order to attend a CCSP Provider Consult. Senior Community Service Employment Program (SCSEP), About Abuse, Neglect, and Exploitation of At-Risk Adults, Georgia Alzheimer's Disease & Related Dementias State Plan, Facebook page for Division of Aging Services | Georgia Department of Human Services, Twitter page for Division of Aging Services | Georgia Department of Human Services, Linkedin page for Division of Aging Services | Georgia Department of Human Services, YouTube page for Division of Aging Services | Georgia Department of Human Services. Ready to become a Medicare provider or supplier? These manuals, listed below, will provide you with the definition of services and the associated standards. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or intermediate care facility for people with intellectual or developmental disabilities. An official website of the United States government M\}v4 5 0 obj x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o X`g(_;6y~c|Y'CUzWcJ`n?jLuQ N9|7A~B (|8dmc?w-wb_Aba THUa^D>4?:'jg/p|,cgi,mKW\I$S~YNwG5.L-gj9~Q ;0F02 q ?RhA+v5\*k8kqiFyAJ4$g9?H~w(;) Ck{r~i~Y1wyU1X.M C Local, state, and federal government websites often end in .gov. BIL> +x! To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). For more information on how to apply, visit Georgia's Department of Community Health website. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. 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. 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. 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. How you know. Email Us. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. Not sure if you have an NPI? 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. endstream endobj 188 0 obj <>stream 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. A complete list of Medicaid . xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y An official website of the State of Georgia. The Program Specialist may occasionally send Banner messages through web portal for important notifications. 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. endobj Before sharing sensitive or personal information, make sure youre on an official state website. NPIs are issued through the National Plan & Provider Enumeration System (NPPES). The following is a list of waiver programs in Georgia. J0xhcni).P~EJRt l ^E`>XBI!_~ Before sharing sensitive or personal information, make sure youre on an official state website. 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 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. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Potential Provider Information . - Posted 3/29/19. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. If you applied using a paper application, youll need to resubmit your form to update information. ( Secure .gov websites use HTTPSA Become a Medicaid provider. 0 ) and ). (xC]`)q6> Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. 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). Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. Local, state, and federal government websites often end in .gov. Learn more Renew Medicaid Benefits The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. An official website of the State of Georgia. 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. Provides services to medically fragile children with multiple system diagnoses. 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. 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 may access this form here: https://www.georgiacollaborative.com/providers/forms/. access the EDWP Public Notice click here. <> Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. An official website of the State of Georgia. Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y HVn8}W#YDH +V:NvRXA1/Nari4V We're here to help. endstream endobj startxref <> We could be the answer you've . (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. Options Using Resources in a Community Environment (SOURCE This email will contain information regarding New Provider Orientation. An official website of the State of Georgia. (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. 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 Before sharing sensitive or personal information, make sure youre on an official state website. The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. 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. click p?.e^Tv+2,[P3-Nj` @Fy A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Primary: (404) 657-5468. YouTube page for Georgia Medicaid; How can we help? QR c>stream endobj Links to the public notices and draft waiver applications are listed below. access the EDWP Draft Application click here. How you know. (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). Georgia Pediatric Program (GAPP) Before sharing sensitive or personal information, make sure you're on an official state website. A list of the applicable manuals is below. 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. Local, state, and federal government websites often end in .gov. 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. 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. i If youre unable to apply online using PECOS, you can use a paper application form. endobj Georgia Technology Authority wants to hear from you to help make the internet more accessible to everyone. The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia. 3 0 obj 5 An official website of the State of Georgia. Toll Free: (877) 423-4746. Georgia's Medicaid Waivers & Programs . To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. C;y}r_a^mTN\; y~%[Bd\;iPC#_I . An official website of the State of Georgia. 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 recipients have a monthly income between $400 and $2523 per month. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. lock Send a Message. Care Waiver Program (ICWP) (706) 792-7741 OR (800) 348-3503. \q~4za\c5f The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered Enroll using PECOS,i the online Medicare enrollment system. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v Providers can also enroll to become a participating provider using the Enrollment Wizard . ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. 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. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) You can also contact GMCF at www.gmcf.org . ]O'C <> The to complete the registration (select the date you would like to attend in the drop-down box at the top). 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$&K~ .g\7C%Uw=}gS=t/*/fr. >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. 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. Local, state, and federal government websites often end in .gov. 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. 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). 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. The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. Medicaid. R *x(Pi 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 to Medicaid members. The waiver has been approved for a five-year period effective April 1, 2021. - Updated 3/10/20. The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. 4 0 obj TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# Applications are accepted by DCH in March and September of each year. Search the NPI Registry. 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 Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. Applications are accepted by DCH in March and September of each year. In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Thank you for your interest in becoming a provider for DBHDD!