Approved State Plan Amendments
All state plan amendments approved since 11/19/2015.
2023
21-0014
Disproportionate Share Hospital Methodology
22-0003 PRTF
Per Diem Rate Adjustments
22-0006
Behavioral Support Aides
22-0007
Disproportionate Share Hospital Methodology
22-0010
Private 911 Ground Ambulance Upper Payment Limit (UPL) Program
22-0013
Increase Rate for LTAC and IRF
23-0001 Disaster
Relief – Unwinding
2022
22-0001
Medicaid Disaster Relief
22-0004 Express
Lane Eligibility
2021
21-0002
Georgia's Medicaid Disaster Relief.pdf
(11.32MB)
21-0003 Medication
Assisted Treatment
21-0004
Hospital Audit Program.pdf
(254.58KB)
21-0005 Reimbursement
for COVID-19 Vaccines - Disaster Relief SPA
(354.64KB)
21-0006
PCP/OBGYN increase to 2020 Medicare Levels
21-0008
Increase Reimbursement for 15 Dental Codes
21-0009
Nursing Home Reimbursement Rate Change
21-0011
Ground Ambulance Supplemental Payment Program
21-0013 Third
Party Liability-Cost Avoidance
21-0015 Non-Emergency
Medical Transportation
21-0016
Approval Package for State Plan
2020
20-0003
Ambulance Upper Payment Limit (UPL) Supplemental Payment Program
20-0008
Silver Diamine Fluoride Reimbursement.pdf
(254.61KB)
20-0009 Increased
Reimbursement for Ventilator Dependent Nursing Facility Residents.pdf
(375.77KB)
20-0010
Primary Care Code 1% Rate Increase
20-0011 Nursing
Home Quality Incentive Program.pdf
(369.55KB)
2019
19-005
Disproportionate Share Hospital (DSH) Allocation Methodology
19-008
Hospital Provider Fee Extension (HPF)
19-009
Skilled Nursing Facility Rate Increase
19-010
Nursing Home Personal Needs Allowance (PNA) Rate Increase
19-012
Per diem Rate Increase for Swing Bed
19-013
NF Vent Dependent Resident Rate Increase
2018
18-001
GA Former Foster Care Children Out of State .pdf
(202.08 KB)
18-002
Supplemental Rebate Agreement Template
18-004
Nursing Home Personal Needs Allowance Rate Increase
18-005
Nursing Home 4.5% Rate Increase
18-006
Nursing Home Liability Insurance Rate Increase
18-007
Newborn Kick Payment for Rural Hospital with a population of less than 35,000
18-009
Commissioner of Human Services waives the first $25,000 of any estate provide
18-010
Hospital Triage Rate Increase
2017
17-001
Outpatient Drug Rule
(1.07 MB)
17-002
Community Behavioral Health Rehabilitation Services
(582.85 KB)
17-003
Nursing Home Ventilator Rate Increase
(1.87 MB)
17-005
- Portable X-ray CT Scan
(250.34 KB)
17-006
Hospital Provider Fee
(792.31 KB)
17-007
Nursing Facility Rate Increase
(675.19 KB)
17-008
Primary Facility Rate Increase HB44.pdf
(246.44 KB)
17-009
Newborn Add on Fee for Rural Counties.pdf
(1.26 MB)
17-010
Nursing Home Rate Increase.pdf
(1.19 MB)
17-012
Nursing Home Ventilator
(642.11 KB)
17-013 Routine Home Care Hospice rates and Service Intensity Add-On rates (335.57 KB)
17-014
School Nurses Administrative Agreement Update
(220 KB)
17-015
Autism Enroll BCBA .pdf
(334.97 KB)
2016
16-001
PCP & OBGYN Rate Increase
(1.92 MB)
16-002
CIS Rate Increase
(260.35 KB)
16-003
Rural-Hospital-Add-on-Payment-for-Deliveries
(1.29 MB)
16-004
NH-Vent-Rate-Increase
(1.63 MB)
16-005
NH-Rate-Increase
(1.53 MB)
16-015
DPH Newborn Screening Fee Increase
(1.06 MB)
2015
15-001
FQHC_RHC Reimbursement for purchase of LARCs
(99.64 KB)
15-003
Nursing Facilities Rate Increase
(3.8 MB)
15-004
Adult Air Ambulance
(108.76 KB)
15-005
Inpatient Prospective Payment Services
(706 KB)
15-006
Enhanced Primary Care Svc. Payment
(374.65 KB)
15-008
Telehealth and Telemedicine Services
(905.45 KB)
15-009
Express Lane Eligibility
(91.12 KB)
15-010
FQHC_RHC
(136.07 KB)
15-011
IPPS Tricare Grouper
(164.75 KB)
15-012 Transportation Telemedicine Facility Sites (430.17 KB)
Prior to 2015
14-001
Family Planning Services
(157.81 KB)
14-003
Perinatal Case Management
(18.97 MB)
14-006
Georgia Nursing Facilities Rate Increase
(494.56 KB)
13-001
State Governor Review
(215.99 KB)
13-002
Disproportionate Share Hospital Allocation
(416.76 KB)
13-004
Enhanced Primary Care Service Payment
(406.21 KB)
13-008
Concurrent Hospice Care
(365.51 KB)
13-009
Fair Rental Value
(512.64 KB)
13-005
CMS Approval Letter
(318.98 KB)
13-006
CMS Approval Letter
(1.93 MB)
13-007
FQHC_RHC Increase
(182.69 KB)
13-011
Foster Care and Adoption Assistance
(318.76 KB)
13-012
Care Payment for Private Inpatient Hospitals
(137.36 KB)
13-013
Care Payments for Private Outpatient Hospitals
(247.57 KB)
13-014
Pregnancy Related & Postpartum Services
(73.38 KB)
13-015
ABD Medical Coordination
(224.55 KB)
13-016
MAGI Eligibility & Methods Group
(1.56 MB)
13-0017
Establish 2001 _f_ Group
(388.4 KB)
13-018
Eligibility Process Group
(1.71 MB)
13-0019
Non-Financial Eligibility Group
(1.13 MB)
13-0020
MAGI- Based Eligibility groups
(1.43 MB)
13-0021
Eligibility Process
(493.73 KB)
13-022
MAGI Income Methodology
(73.67 KB)
13-023
Residency
(141.61 KB)
13-0024
Citizenship & Immigration Status
(142.09 KB)
13-025
XXI Medicaid Expansion
(73.03 KB)
13-026
Tobacco Cessation Counseling Service
(136.02 KB)
13-027 Inpatient Hospital Prospective Payment Services (395.89 KB)
13-0028
Hospital Presumptive Eligibility
(258.1 KB)
12-001
Medicaid Recovery Audit Program
(428.09 KB)
12-002
Tobacco Cessation
(195.32 KB)
12-003
Nursing Home Reimbursement
(2.52 MB)
12-004
Provider Screening and Enrollment
(417.85 KB)
12-005 Nursing Home Reimbursement (578.15 KB)
11-001
Disproportionate Share Hospitals
(281.15 KB)
11-002
Express Lane Eligibility
(212.8 KB)
11-003
Foreign Payment Prohibition
(97.82 KB)
11-004
Freestanding Birth Centers
(351.44 KB)
11-005 Hospital Acquired Conditions (583.77 KB)
11-006
Disproportionate Share Hospitals
(700.44 KB)
11-007
Community Behavioral Health
(3.24 MB)
11-008
GBHC Termination
(402.54 KB)
10-019
Medicaid Recovery Audit Program
(1.23 MB)