how to become a medicaid waiver provider in georgia

%PDF-1.5 HCBS | Georgia Department of Community Health An official website of the State of Georgia. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? Gather What You'll Need 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. An official website of the United States government Enrollment Forms - Georgia endobj A complete list of Medicaid . 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. <> Call Us. Public Notice for 1915(c) Elderly and Disabled (E&D) Waiver 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. I. endobj HCBS Waiver Provider Application Process | dds ;e_\7b%A6q%Phzp'|gToI1]si NpQ,*uqx:JjvL}AjU+qi,. 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. 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. 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 For more information on how to apply, visitGeorgias Department of Community Health website. 2 0 obj HVn8}W#YDH Local, state, and federal government websites often end in .gov. Become a Medicaid provider. 7 0 obj This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. 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. If the DCH application is denied, you are notified by DCH and advised of the next steps. Heres how you know. 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. Your MAC can help you navigate the enrollment process and answer questions about your application. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. How you know. See if you qualify and apply for benefits. lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ An official website of the State of Georgia. New Provider Training - Georgia (u0o"q Bt$ Il&0t}V%YXe-'37# Medicaid waiver programs providerecipients certain services not normally covered by Medicaid. To apply for services contact a GAPP provider agency directly. Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. 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 An official website of the State of Georgia. How you know. 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 . Community Care Services Program Waiver (CCSP) - Health Force of Georgia The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. Georgia Medicaid Waiver C;y}r_a^mTN\; y~%[Bd\;iPC#_I For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Its important to keep your enrollment information up to date. 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. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v 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. PDF Potential CCSP Provider Pathway - Georgia 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. 451 0 obj <>stream to Medicaid members. To provide services in other counties, you can find the appropriate AAA at, To sign up for a CCSP Provider Consult, please visit our. - Posted 02/16/21, New 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. Providers can also enroll to become a participating provider using the Enrollment Wizard . hbbd``b`$0 H8ED|V@5W8d100R + *x(Pi ]v&'0 pHin@ hf9^ @ S A guide to Medicaid Waiver Programs in Georgia is now available. Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. Ready to become a Medicare provider or supplier? PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz (V] l{T 3CYNK^oE`!|nyM\,"7FK! A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 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. - Updated 3/10/20. sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS Potential Provider Information . . All Contacts. Links to the public notices and draft waiver applications are listed below. An official website of the State of Georgia. 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). 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. 3 . (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. or Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. 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. %%EOF R Each state has its own waivers and each waiver, its own policy. Options Using Resources in a Community Environment (SOURCE Before sharing sensitive or personal information, make sure youre on an official state website. The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. Share sensitive information only on official, secure websites. A guide to Medicaid Waiver Programs in Georgia is now available. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 lock 183 0 obj <> endobj Pursuant to 42 C.F.R. The waivers allow healthcare professionals to provide care in a person's home or community instead of a long-term care facility. Waiver Renewal Application }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v How you know. For questions, contactccsp.messages@dch.ga.gov. 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! The 12 ADRC offices are identified by counties served. Not sure if you have an NPI? Official websites use .govA Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. Learn more Renew Medicaid Benefits For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. PDF A Guide to Medicaid Waiver Programs in Georgia ( https:// Local, state, and federal government websites often end in .gov. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . BIL> +x! Contact Your MAC (PDF). Care Waiver Program (ICWP) I. We can help connect you to privately and publicly funded resources from more than 26,000 community-based providers. QR c>stream 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 CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. An official website of the State of Georgia. 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. 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. <>>> CX Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. hmO6?}`w h! To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. endstream Contact your MAC (PDF). 0 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 must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Apply for DD Services | Georgia Department of Behavioral Health and An official website of the State of Georgia. p?.e^Tv+2,[P3-Nj` @Fy endstream endobj startxref NPIs are issued through the National Plan & Provider Enumeration System (NPPES). Sign up to get the latest information about your choice of CMS topics. 5 Apply for Elderly and Disabled Waiver Program | Georgia.gov Send a Message. ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" Toll Free: (877) 423-4746. means youve safely connected to the .gov website. You can apply for an NPI on the NPPES website. 1 0 obj Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. Applications are accepted by DCH in March and September of each year. For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. here 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. \q~4za\c5f To qualify, you must be eligible for Medicaid and: Be at least 65 years old (or, if younger than 65, meet certain disability requirements), Be impaired by physical limitations, Choose to receive services in your home or community instead of a nursing home, and Participate in only one waiver program at a time. Each program offers several "core" services: Additional services are available under each program. Secure .gov websites use HTTPSA Potential CCSP 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). 3 0 obj Email Us. - Posted 3/29/19. <> obtain a clear understanding of this Medicaid Waiver. Personal Emergency Response Services (PERS) & Medicaid