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. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. 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. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. A guide to Medicaid Waiver Programs in Georgia is now available. 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. To apply for services contact a GAPP provider agency directly. For questions, [email protected]. 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 don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. A guide to Medicaid Waiver Programs in Georgia is now available. 3 . the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . 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. 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. How you know. 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 CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. 7 0 obj Local, state, and federal government websites often end in .gov. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. Medicaid. 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. (u0o"q Bt$ Il&0t}V%YXe-'37# 3 0 obj 6 0 obj Toll Free: (877) 423-4746. endstream endobj 188 0 obj <>stream Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. Before sharing sensitive or personal information, make sure youre on an official state website. Potential CCSP Provider . <> Empowerline is here to help. For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. Contact Your MAC (PDF). State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. 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. Local, state, and federal government websites often end in .gov. ) - Updated 3/10/20. A list of the applicable manuals is below. An official website of the State of Georgia. Provider News. 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 . 08&@}68O`0YuL &DR V-cSDm c1YeSX@rT:dPaLup9CU2C' ^U:d! 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. We can help connect you to privately and publicly funded resources from more than 26,000 community-based providers. All Contacts. QR c>stream endobj endobj lock Before sharing sensitive or personal information, make sure youre on an official state website. HVn8}W#YDH 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. To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). The waiver has been approved for a five-year period effective April 1, 2021. User Information PDF Reader Required C;y}r_a^mTN\; y~%[Bd\;iPC#_I 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. NPIs are issued through the National Plan & Provider Enumeration System (NPPES). %%EOF I@N( dA)H@3dD@(YC7'4 4 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` 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. <> Official websites use .govA How you know. How you know. CX 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. ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Some of those are described in this guide and include Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) 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. Many people qualify to receive Medicaid, but first you have to apply. Many state waivers also offer a single reimbursement of between $40 - $200 intended to cover any installation or startup fees associated with a PERS service. Complete and submit the applicable DBHDD New Provider Application, located at the following link: If required, when the DBHDD application review has been completed , a site visit will be conducted by the appropriate Regional Field Office. - Updated 3/10/20. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. R GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. <>>> Sign up to get the latest information about your choice of CMS topics. As an interested BH provider, you will find it helpful to review the Medicaid Provider Manual for Behavioral Health Services on the GAMMIS website at the following link:https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. BIL> +x! Email Us. N.4q]KXc''}iR@:`9~d`'a^[JB(ZIG`+0 t}qS`^:},?6S)^W:W>ezjWI]e {Y}Z0p OGUH F`Rd#0@PvRzxDSL] %M1e2^3ba vEZes6bw>/4"|/8:K[5,K\4tvK$&K~ .g\7C%Uw=}gS=t/*/fr. l`JV``X Each program offers several "core" services: Additional services are available under each program. 5 0 obj lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ 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). The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. <> The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. Potential Provider Information . 215 0 obj <>stream - Posted 3/29/19. Applications are accepted by DCH in March and September of each year. For more information on how to apply, visit Georgia's Department of Community Health website. An official website of the State of Georgia. I. 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. access the EDWP Draft Application click here. An official website of the State of Georgia. Providers can also enroll to become a participating provider using the Enrollment Wizard . 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 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. Become a Medicaid provider. endobj To be eligible for Medicare, a . 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. You can also contact GMCF at www.gmcf.org. How you know. If you applied online, you can keep your information up to date in PECOS. A complete list of Medicaid . Options Using Resources in a Community Environment (SOURCE 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. or access the NOW Draft Application click here. Click here for help and information about bookmarks. 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 sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y (xC]`)q6> All Rights Reserved. endstream endobj startxref Before sharing sensitive or personal information, make sure you're on an official state website. endobj TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo FGr[syhGuU,em]vW3 km$^\lZT2OJH# endstream Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. You may access this form here: https://www.georgiacollaborative.com/providers/forms/. 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 Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. An official website of the State of Georgia. 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. ]O'C You can also check in with your MAC regarding your enrollment status. For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. Potential Provider Information . Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. How you know. Pursuant to 42 C.F.R. 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. 5 The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. ). Each state has its own waivers and each waiver, its own policy. hbbd``b`$0 H8ED|V@5W8d100R + YouTube page for Georgia Medicaid; How can we help? You may view the appropriate policies, and their attachments, by clicking on the links below: Both interested I/DD and BH providers are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website:https://dbhdd.georgia.gov/community-provider-manuals. Applications are accepted by DCH in March and September of each year. Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 Your Medicare Administrative Contractor (MAC) is specific to the region where you practice and may have additional requests for information while they process your application. HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U $,"}S*A#>e.P)~' GL]M! FAQs 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 The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in 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. A list of the applicable manuals is below. 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 . Community Care Services Program (CCSP ) and Service Options Using Resources in a Community Environment (SOURCE ) - Updated 3/10/20 The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. Share sensitive information only on official, secure websites. means youve safely connected to the .gov website. lock How do I know if I am in the right place? Once the LOI has been approved, you will receive an invitation to apply. Community State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Before sharing sensitive or personal information, make sure youre on an official state website. 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. 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. hO#+o"YI[:7 QO*$fL`m{s((P0(@L?:40QS`h)CVulT +C! The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. Independent Waiver Renewal Application At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. 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. 183 0 obj <> endobj obtain a clear understanding of this Medicaid Waiver. 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. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE 8_{3YWx^9nDz)v An official website of the United States government Eligibility for ICWP is based on either a nursing facility or hospital level of care for adults with severe physical disabilities or traumatic brain injury (TBI). Before sharing sensitive or personal information, make sure youre on an official state website. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. Special Notice:Ending July 1, 2022, the Department of Community Health accepted public comment for a 30-day period on the New Options Waiver (NOW) and the Elderly and Disabled Waiver Program (EDWP) to renew both waiver programs. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. Local, state, and federal government websites often end in .gov. . (In this case, you would need to, You want to enroll as a supplier who does not dispense or furnish durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). For more information on how to apply, visit, Georgias Department of Community Health website, ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. Georgia Pediatric Program (GAPP) HCBS Guide (4.17 MB) Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or ICF-MR. The Program Specialist may occasionally send Banner messages through web portal for important notifications. Learn more Renew Medicaid Benefits i If youre unable to apply online using PECOS, you can use a paper application form. "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r >oT->+ L}$\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? 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 instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. An official website of the State of Georgia. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. The 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.