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. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. FAQs Local, state, and federal government websites often end in .gov. hb`````f`f`0 |@1 h``ZPxjGd`8H 1/H92i? lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ Medicare is a federal program. 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. 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! How Do I Become A Provider? - Georgia Department of Behavioral Health Call Us. You can decide how often to receive updates. 5 0 obj
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+C! 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). 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. %%EOF
Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. New Provider Training - Georgia Become a Medicaid provider. Applications are accepted by DCH in March and September of each year. PGRU@2'
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Complete the online PECOS application. Medicaid Waiver +V:NvRXA1/Nari4V CCSP recipients have a monthly income between $400 and $2523 per month. An official website of the State of Georgia. IeH")DW_OUOx.IwE&-M-,(YzPf*w{bv@oLNr%L^>?~cd{\o\t(Kh]sv2n{s4o6;kwa~j}w}Z"/)KA4-BKA Fm=" H I2 A4$Rm0, yRLo_g^:ULoBJ u84e)\.RP~)ffje__7_WOmp/g9s__k]0oN5kl]0 OT}gq^_i^^+* 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. 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 If you applied using a paper application, youll need to resubmit your form to update information. endobj
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the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . Medicaid Waiver Programs | Georgia.gov Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. endstream
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This email will contain information regarding New Provider Orientation. 3 0 obj
How you know. Heres how you know. A guide to Medicaid Waiver Programs in Georgia is now available. A list of the applicable manuals is below. Click the following link for available dates and to register for the event: https://www.georgiacollaborative.com/providers/enrollment/. about a provider in your area call: 404.657-7211 Division of Medical Assistance Plans under the Department of Community Health . For questions, contactccsp.messages@dch.ga.gov. Secure .gov websites use HTTPSA Before sharing sensitive or personal information, make sure youre on an official state website. PDF Georgia Medicaid Provider Enrollment Guide You can apply for an NPI on the NPPES website. lock Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. These manuals, listed below, will provide you with the definition of services and the associated standards. 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. "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r
>oT->+ L}$\ZSypts [}s[pYI._.jJ&*40)|[cPU|9V&=pC~7kj~xcR1>5>)`lB3{jgj|zu_3\O5c\j;2Ft(|5UdC
/w.s}7U1242LV.2eH2*M[w+uFA:x7FX8ztjf#;R_kUMFUu2gKa7{=/9v@a*Uj3^ T 9srz>n.QI>dY294? Waiver Renewal Application - Posted 3/29/19. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. In recent years, public understanding and support of transgender (also known as trans) people and the issues that impact them has generally grown. To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). (u0o"q Bt$ Il&0t}V%YXe-'37# Georgia Provider - Amerigroup Georgia Medicaid Waiver 5 HVn0+ T(e(8AF-~,%YvA$w3$, 'Yghj4Ska8}"]|&3Qb9W;RN5
5[1f}Mt2e63Q6l2IQXPe|I7BrQ.F48+'9]gs; 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). Apply for DD Services | Georgia Department of Behavioral Health and Search the NPI Registry. (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. Each state has its own waivers and each waiver, its own policy. FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) Learn more Renew Medicaid Benefits . State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. Service 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 . 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. We can help connect you to privately and publicly funded resources from more than 26,000 community-based providers. 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. COMP 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. endobj
Your MAC can help you navigate the enrollment process and answer questions about your application. p?.e^Tv+2,[P3-Nj` @Fy
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. An official website of the State of Georgia. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. A list of the applicable manuals is below. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . Sign up to get the latest information about your choice of CMS topics. Georgia Pediatric Program (GAPP) sq(v~}m_xR3TM%n2> yxiST6T8 n%RA(G|rm5%S (=d8IS 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. endstream
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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. 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. (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. 183 0 obj
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Share sensitive information only on official, secure websites. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. The CCSP Provider Consult is not a general information session. We're here to help. See if you qualify and apply for benefits. Links to the public notices and draft waiver applications are listed below. Applications are accepted by DCH in March and September of each year. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. 451 0 obj
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Amendment Application for Comprehensive Supports Waiver Program 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). <>
h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, How you know. to Medicaid members. Enrollment Forms - Georgia N.4q]KXc''}iR@:`9~d`'a^[JB(ZIG`+0 t}qS`^:},?6S)^W:W>ezjWI]e {Y}Z0p
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.g\7C%Uw=}gS=t/*/fr. To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). J0xhcni).P~EJRt l ^E`>XBI!_~ Amendment Application for Georgias Elderly & Disabled Waiver Program What is a Medicaid waiver program? - Medical News Today 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 If you applied online, you can keep your information up to date in PECOS. For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o
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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. How do I know if I am in the right place? Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. Ready to become a Medicare provider or supplier? to complete the registration (select the date you would like to attend in the drop-down box at the top). 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. All Rights Reserved. The Provider Enrollment Unit enrolls qualified providers to receive Medicaid reimbursement for services rendered
Local, state, and federal government websites often end in .gov. Medicaid SOURCE Waiver - Receive Homecare or Skilled Nursing Care at No To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). zi>n[q@. '<0c BAcaXC]va0y'A"_%:bIc(:'xO%.S
I8J4a]H K c*G?^50&aInA /cEe`(00VoXUf,ncUe er7-c^QR(y Email Us. You can also contact GMCF at www.gmcf.org. R Apply for Elderly and Disabled Waiver Program | Georgia.gov Waiver Programs | Georgia Medicaid Per DCH policy you must wait one (1) year before submitting another application. 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. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. 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. Georgia Medicaid | Georgia.gov Contact Us | Medicaid >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ The Program Specialist may occasionally send Banner messages through web portal for important notifications. 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. Care Services Program (CCSP stream
A complete list of Medicaid . - Updated 3/10/20. Enroll using PECOS,i the online Medicare enrollment system. Some of those are described in this guide and include User Information PDF Reader Required <>
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. 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. Become a Medicaid provider | Division of Aging Services - Georgia Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. M\}v4
- Posted 02/16/21, New )aa:bdF:. Local, state, and federal government websites often end in .gov. ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v Before sharing sensitive or personal information, make sure youre on an official state website. Its important to keep your enrollment information up to date. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Community zoX-8IHH=mhX&Z4&kjI[%w$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 access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. You can also check in with your MAC regarding your enrollment status. See, for example, Adena Regional Medical Center v. 6 0 obj
The waiver has been approved for a five-year period effective April 1, 2021. stream
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. Waiver What is the best number to call to get started? Public Notice for 1915(c) Elderly and Disabled (E&D) Waiver 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. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. hmO6?}`w h! 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. Not sure if you have an NPI? Contact Your MAC (PDF). 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. l`JV``X The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. <>
Toll Free: (877) 423-4746. 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. PDF Service Options Using Resources in a Community Environment (SOURCE) The The following is a list of waiver programs in Georgia. Send a Message. Independent Potential CCSP Provider Pathway - Georgia *x(Pi ]O'C Getting Paid as a Caregiver by Medicaid - Medicaid Planning Assistance To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. An official website of the State of Georgia. For more information on how to apply, visitGeorgias Department of Community Health website. We're here to help. 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. All Contacts. BIL> +x! <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 396 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
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The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. A list of the applicable manuals is below. - Updated 10/20/17. endstream
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Community Care Services Program Waiver (CCSP) - Health Force of Georgia An official website of the State of Georgia. For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. here For more information on how to apply, visit Georgia's Department of Community Health website. Provides services to medically fragile children with multiple system diagnoses. A guide to Medicaid Waiver Programs in Georgia is now available. 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_ Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. Official websites use .govA %PDF-1.5
The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. Georgia Department of Community Health's (DCH) Office of Inspector General (OIG) is responsible for Medicaid Provider Enrollment. U%:I("r-*gQF+'W8>wT, HjF 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. 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. Providers wanting to enroll in the Georgia Medicaid program can easily do so online using the Enrollment Wizard found within the Provider Enrollment menu. }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd
xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v bathing, dressing, meals, and housekeeping), home health services (nursing, home health aide, and occupational, physical and speech therapy). hbbd``b`$0 H8ED|V@5W8d100R +
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 endstream
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Many people qualify to receive Medicaid, but first you have to apply. Contact your MAC (PDF). <>
Applications are accepted by DCH in March and September of each year. Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. Medicaid. Providers can also enroll to become a participating provider using the Enrollment Wizard . The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. You may access this form here: https://www.georgiacollaborative.com/providers/forms/. 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. endstream
Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . GAPP nursing agencies can be found in Appendix U of the GAPP provider manual on the GAMMIS website. ;e_\7b%A6q%Phzp'|gToI1]si
NpQ,*uqx:JjvL}AjU+qi,. How you know. An official website of the State of Georgia. 2023 Atlanta Regional Commission. access the EDWP Public Notice click here. 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. (706) 792-7741 OR (800) 348-3503. endobj
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y~%[Bd\;iPC#_I Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. access the EDWP Draft Application click here. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo
FGr[syhGuU,em]vW3 km$^\lZT2OJH# Potential CCSP Provider . ) - Updated 3/10/20. endobj
- Updated 3/10/20. click Provider News. website belongs to an official government organization in the United States. The 12 ADRC offices are identified by counties served. ( Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. ). Online Form. Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 Department of Human Services, Division of Family and Children Services, Georgia Department of Behavioral Health and Developmental Disabilities. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. You can also contact GMCF at www.gmcf.org . To avoid having your Medicare billing privileges revoked, be sure to report the following changes within 30 days: You must report all other changes within 90 days. 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. \q~4za\c5f Georgia's Medicaid Waivers & Programs . How you know. The Mental Retardation Waiver Program (MRWP) assists people with disabilities who live in Georgia.