COVID-19

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Medicaid FAQs

Read for some of the frequently asked questions we’ve received  (PDF, 142.78 KB)

Provider Relief Fund 

Webcasts Information  (PDF, 85.98 KB)

Provider Cost Reports Update

Cost Report Suspension  (PDF, 102.48 KB)

COVID-19 CoPayments Information

Updated COVID-19 CoPayments Information

Read for CoPayment Information for Medicaid/PeachCare for Kids Providers  (PDF, 86.32 KB)

Latest on 1135/1115(a) Waivers, Appendix K Plans

Combined GA  Appendix K - Retainer Payments  (PDF, 81.38 KB)

CMS Approval Letter - Appendix K, Retainer Payments  (PDF, 107.81 KB)

Medicaid State Plan Amendment (SPA) 20-0006

CHIP Disaster SPA  (PDF, 271.63 KB)

Appendix K Emergency Preparedness Plans Approved

Read the full, CMS approved Appendix K: EDWP and ICWP  (PDF, 222.57 KB)

Read the full, CMS approved Appendix K: COMP and NOW  (PDF, 348.24 KB)

To read the approval letter, click here  (PDF, 108.93 KB)

Appendix K Telehealth Amendment Approved by CMS

Appendix K Amendment Withdrawn

GA (0112, 4170) Appendix K  (PDF, 45.9 KB)

GA (0323, 0175) Appendix K  (PDF, 53.74 KB)

GA (0112, 4170; 0323, 0175) Appendix K Approved by CMS  (PDF, 134.1 KB)

GA (0323, 0175) Appendix K 3.26.2021  (PDF, 75.52 KB)

GA (0323, 0175) Appendix K 3.26.2021 Approved by CMS  (PDF, 109.59 KB)

GAAppendixK ED.ICWP.change.2.23.21 Withdrawn  (PDF, 316.22 KB)

Approved 1135 Waiver

1135 Medicaid Waiver Approved DCH Press Release

Gov. Kemp, DCH Announce Approval of 1135 Medicaid and PeachCare for Kids® Waiver

Updated Provision - Prior Authorization Modification/Suspension (April 14, 2020)  (PDF, 97.22 KB)

CMS Submissions

Medicaid and PeachCare for Kids® Providers and Members: Sections 1135 and 1115(a), Appendix K Plans Submitted to CMS (Click link to read full submissions)

Medicaid and PeachCare for Kids® Providers and Members: Section 1135 Waivers to CMS

Telehealth Guidance 

Telehealth Webinars  (PDF, 162.96 KB)

Latest Telehealth Billing Guidance (April 13, 2020)  (PDF, 34.43 KB)

Updated Telehealth Guidance to All Providers  (PDF, 86.15 KB)

Telehealth guidance for Medicaid/PeachCare for Kids®/Fee-for-service Providers  (PDF, 121.94 KB)

Billing Guidance for Alternative Off-Site Locations

Billing Guidance for Hospitals and Physicians Using Alternative Off-Site Locations for Treatment  (PDF, 166.33 KB)

Nursing Guidance

Skilled Nursing Updates  (PDF, 38.93 KB)

Nursing Homes

February 7 Memo - Suspension of 2019 Cost Report Audits

Pharmacy and Prescribers 

Prior Authorizations Extended  (PDF, 132.62 KB)

Frequently Asked Questions (FAQs)  (PDF, 51.14 KB)

Important Message for Georgia Medicaid Prescribers and Pharmacy Managers  (PDF, 84.79 KB)

Durable Medical Equipment 

Latest update on Durable Medical Equipment  (PDF, 86.42 KB)

Georgia Department of Behavioral Health and Developmental Disabilities Guidance

DBHDD Guidance

Medication Assisted Treatment Guidance for Take-Home Medication and Telehealth  (PDF, 319.1 KB)

CMS Guidance

Governor Kemp and the Georgia Health Care Association issued a joint statement on March 16, 2020 with new guidance from the Centers for Medicare and Medicaid Services.

More Information

To learn more about COVID-19 ("Coronavirus"), Georgia Medicaid members and providers should visit the Centers for Disease Control and Prevention and Georgia Department of Public Health websites:

https://www.cdc.gov/coronavirus/2019-ncov/index.html or https://dph.georgia.gov/novelcoronavirus

Medicaid members and providers can also visit their Care Management Organizations’ (CMOs) websites to find helpful information on COVID-19: