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Each state determines reimbursement rates and coverage of services. Use the portal to pay your premium, Guidance on therapy services covered through Georgia Medicaid and other important compliance issues such as enrollment, billing, audits, and managed care. Community providers of behavioral health services can be accessed by contacting The Georgia Crisis and Access Line (GCAL) at 800-715-4225 or via the web by visiting www.mygcal.com. How do I know if I am in the right place? According to Georgia Medicaid guidelines, as part of the EPSDT program, an inter-periodic hearing screening and a periodic preventive service for patients less than 21 years of age should not be reported on the same day. PDF Attachment 4.19 - B State Georgia POLICY AND METHODS FOR ESTABLISHING Twitter page for Georgia Medicaid; Linkedin page for Georgia Medicaid; YouTube page for Georgia Medicaid; How can we help? Web form outage is expected around 5:30pm on April 28, 2023. Georgia Medicaid endstream endobj startxref The Lifeline supports people who call for themselves or someone they care about. SFY 2023 Hospital Provider Fee Memorandum - Posted 06/15/22. Additionally, contraceptive injections of medroxyprogesterone acetate also known as Depo-Provera are limited to one injection every three months. If you do not have Adobe Acrobat Reader, you may download ithere. This change is estimated to increase E&D Waiver expenditures for SFY 2022 as follows: The Georgia General Assembly passed legislation to increase Elderly and Disabled Waiver rates by 10% effective July 1, 2021. They include, but are not limited to claims processing guidelines referenced by the Centers for Medicare and Medicaid Services (CMS), Publication 100-04, Claims Processing Manual for physicians/non-physician practitioners, the CMS National Correct Coding Initiative policy manual (procedure-to-procedure coding combination edits and medically unlikely edits), Current Procedural Technology guidance published by the American Medical Association (AMA) for reporting medical procedures and services, health plan clinical policies based on the appropriateness of health care and medical necessity, and at times state-specific claims reimbursement guidance.