https:// Official websites use .govA - Updated 3/10/20. 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. .gov To apply for services contact a GAPP provider agency directly. - Updated 3/10/20. Medicaid Waiver 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). 451 0 obj <>stream 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. Applications are accepted by DCH in March and September of each year. The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered 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. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. An official website of the State of Georgia. 1 0 obj Email Us. endobj PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. We could be the answer you've . 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 can also check in with your MAC regarding your enrollment status. 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. R If the DCH application is denied, you are notified by DCH and advised of the next steps. <> sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS 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. . The 12 ADRC offices are identified by counties served. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. 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). You can also contact GMCF at www.gmcf.org . Before sharing sensitive or personal information, make sure youre on an official state website. Enroll using PECOS,i the online Medicare enrollment system. U%:I("r-*gQF+'W8>wT, HjF 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. l`JV``X Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. 2 0 obj - Posted 2/21/19, Waiver A list of the applicable manuals is below. 3 0 obj {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` PIQ ~R(P1 Share sensitive information only on official, secure websites. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. or hmO6?}`w h! HVn8}W#YDH Providers can also enroll to become a participating provider using the Enrollment Wizard . obtain a clear understanding of this Medicaid Waiver. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endobj xUo1~??&q~TUZCML}@{@> +]aK?SYIJ',,{a=x:jTZ^*UhQ,e1 ,cz] x8!AUfG94a`)E,&Y %PDF-1.5 (u0o"q Bt$ Il&0t}V%YXe-'37# You can also contact GMCF at www.gmcf.org. In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 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. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v The CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. To provide services in other counties, you can find the appropriate AAA at, To sign up for a CCSP Provider Consult, please visit our. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? <> Potential Provider Information . 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. 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 Contact your MAC (PDF). Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. 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. Ready to become a Medicare provider or supplier? Before sharing sensitive or personal information, make sure youre on an official state website. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. ) Amendment Application for Georgias Elderly & Disabled Waiver Program Local, state, and federal government websites often end in .gov. We're here to help. Each program offers several "core" services: Additional services are available under each program. User Information PDF Reader Required <> COMP This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. hbbd``b`$0 H8ED|V@5W8d100R + Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Amendment Application for Comprehensive Supports Waiver Program Review the steps outlined below for the process to become an approved DBHDD provider for either Behavioral Health (BH) Services or Intellectual and Developmental Disability (I/DD) Services. The following is a list of waiver programs in Georgia. The Program Specialist may occasionally send Banner messages through web portal for important notifications. 215 0 obj <>stream stream Visit the DCH waivers webpage at: https://dch.georgia.gov/waivers September 2017 Georgia Department of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404 . Toll Free: (877) 423-4746. (706) 792-7741 OR (800) 348-3503. HVKo8WH(K@Q E]n=j/8jCdYi)f7B To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! An official website of the United States government CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Your MAC can help you navigate the enrollment process and answer questions about your application. ]O'C The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. Potential CCSP Provider . You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. Aging and Independence Services: a Q&A with Becky Kurtz, Metro Atlanta/DeKalb County Digital Connectivity Listening Session, Personal Support Serviceassistance with bathing, light housekeeping, laundry, shopping, meal preparation, and respite (caregiver relief), Alternative Living Servicesmeals, personal care, and supervision in an approved personal care home. p?.e^Tv+2,[P3-Nj` @Fy ( The Provider Enrollment Unit can be reached at the following: In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. Persons served through the CCSP Program must be eligible for Medicaid and meet the following requirements: Have cognitive and or physical impairments/limitations which make it difficult to perform normal daily living activities and live independently At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o X`g(_;6y~c|Y'CUzWcJ`n?jLuQ N9|7A~B (|8dmc?w-wb_Aba THUa^D>4?:'jg/p|,cgi,mKW\I$S~YNwG5.L-gj9~Q ;0F02 q ?RhA+v5\*k8kqiFyAJ4$g9?H~w(;) Ck{r~i~Y1wyU1X.M C (xC]`)q6> PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! The CCSP Provider Consult is not a general information session. Georgia's Medicaid Waivers & Programs . Applications are accepted by DCH in March and September of each year. This email will contain information regarding New Provider Orientation. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 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. 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. 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. Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. endobj 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. @ S Options Using Resources in a Community Environment (SOURCE Local, state, and federal government websites often end in .gov. This guide will help you enroll in three steps. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Provider News. An official website of the State of Georgia. M\}v4 Primary: (404) 657-5468. To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5 5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. zi>n[q@. Learn more Renew Medicaid Benefits 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. See, for example, Adena Regional Medical Center v. access the EDWP Draft Application click here. How you know. Independent Before sharing sensitive or personal information, make sure youre on an official state website. 5 0 obj Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Section 441.304, public notice is hereby given to the submission of a Medicaid 1915 (c) Elderly and Disabled (E&D) Waiver renewal. 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 . A list of the applicable manuals is below. CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. stream What is the best number to call to get started? (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. QR c>stream (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). '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y 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. . You can apply for an NPI on the NPPES website. Search the NPI Registry. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! Heres how you know. 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 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. - Updated 10/20/17. Local, state, and federal government websites often end in .gov. Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. Service See if you qualify and apply for benefits. ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. However, ARC does provide CCSP Provider Consults for those providers that will provide service in Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry,or Rockdale counties. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# BIL> +x! 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. 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. An official website of the State of Georgia. 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. Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. Georgia Pediatric Program (GAPP) lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ Call Us. To qualify for a waiver program, you can have higher income and resources than permitted in the regular Medicaid program. 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. 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. 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.
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