Georgia Department of Community Health Community Care Services Program (ccsp) Atlanta Region-aaa network Meeting Wednesday November 9th, 2017



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Georgia Department of Community Health

Community Care Services Program (CCSP)

Atlanta Region-AAA Network Meeting

Wednesday November 9th, 2017


Contact Information:
Department of Community Health (DCH) - http://dch.georgia.gov/medicaid


  • CCSP - Tom Underwood (tunderwood@dch.ga.gov) at 404-463-8365

  • SOURCE – Brian Dowd (bdowd@dch.ga.gov) at 404-651-6889

  • ICWP - Barbara Means-Cheeley (bcheeley@dch.ga.gov) at 404-657-9321

  • GAPP-Sharon Collins (scollins@dch.ga.gov) at 404-657-7882

  • NOW/COMP - Marilyn Ellis (mellis@dch.ga.gov) at 404-651-9174

    • Host Homes 404-657-2312


Find It in the Manual:
CCSP - Medicaid Provider Manuals – www.mmis.georgia.gov

AND

CCSP - Care Coordination Manual
Click on “Provider Information” and choose “Provider Manuals” from the drop down option. The provider manuals will be listed in alphabetical order on the left side of the screen. Click on the manual you need. (All the CCSP policy manuals are found on the page 1 of the list.) The Part I Medicaid Policy & Procedure Manual is found on page 3.
*Medicaid Manuals are revised/updated quarterly: January / April / July / October
Healthcare Facility Regulation (HFR)-

http://dch.georgia.gov/healthcare-facility-regulation-0

Medicaid Eligibility/DFCS – http://odis.dhs.ga.gov/Main/Default.aspx
Click on Manuals/Index/Div of Family Children Services

ADH rate increase retro to July 2016
From 63.07 to 66.22 for Level II full day 

From 37.85 to 39.74 for Level II half

From 50.45 to 52.97 for Level I full day,

From 30.27 to 31.78 for Level I half day


A mass adjustment will be completed on all retroactive payment. All paid claims will be a mass adjustment to automatically pay the extra amount based on the rate inceas. ADH providers will not have to resubmit claims.


Policy Revisions included in the October 2017 (SFY 18) Edition of the CCSP Policy Manuals: No revisions.

















Network Meeting attendance:
Attending two (2) network meetings per FISCAL (July 1 – June 30) year in the Planning and Service Areas (PSA) in which services are being rendered. Providers must attend the meetings in different quarters (July-September, October-December, January-March, and April-June)/Gen Services Manual Pg. VI-14. Corrective action can be applied for those providers who are not in compliance. Providers who serve more than one PSA region must meet their network meeting attendance requirement by attending meetings in different regions in different calendar quarters.
Updates:
CCSP Care Coordination continues with the new electronic data system called Harmony Framework. If providers need any changes to SAFs for February 2017 and prior, the provider needs to receive a signed SAF from the care coordinator with adjustments. Thereafter, write the ICN number on that signed SAF and email to Tom Underwood at tunderwood@dch.ga.gov to override edits. This request can come from the provider only, not the care coordinator. If you have any additional questions, please contact your assigned CCSP Care Coordination Specialist.
Reminders:
Please remember to send your initial CCNF to care coordination timely, especially for PMAO clients. When care coordination receives this document this will begin the Medicaid application, for PMAO clients and create authorizations for exisiting clients. Without this document, this will cause a delay in the Medicaid application process.
If you wish to discharge a client for any reason, you MUST provide the client/caregiver a 30 day discharge notice. This is in your CCSP provider manual.
DCH CCSP Unit would like to welcome Latosa Boswell and Vonnie Stelly. Latosa is our new administrative assistant and Vonnie is our new Provider Specialist.


Area Agency on Aging


Care Coordination Specialist


Provider Specialist


Atlanta Regional Commission (ARC)

Taesha Ward

Taesha.Ward@dch.ga.gov

404-463-3412


Ccsp.messages@dch.ga.gov

Coastal Regional Commission

Jill Crump

Jill.Crump@dch.ga.gov

404-657-7228


Sherryl Sledge

Sherryl.Sledge@dch.ga.gov

404-463-1897


Central Savannah State Regional Commission (CSRA)

Jill Crump

Jill.Crump@dch.ga.gov

404-657-7228


Sherryl Sledge

Sherryl.Sledge@dch.ga.gov

404-463-1897


Legacy Link

Carolyn Porter, RN

Carolyn.Porter@dch.ga.gov

404-651-7473


Laura Hudlow

Laura.Hudlow@dch.ga.gov

404-463-5073


Heart of Georgia Altamaha Regional Commission

Jill Crump

Jill.Crump@dch.ga.gov

404-657-7228


Sherryl Sledge

Sherryl.Sledge@dch.ga.gov

404-463-1897


Middle Georgia Regional Commission

Taesha Ward

Taesha.Ward@dch.ga.gov

404-463-3412


Laura Hudlow

Laura.Hudlow@dch.ga.gov

404-463-5073


Northeast Georgia Regional Commission

Jill Crump

Jill.Crump@dch.ga.gov

404-657-7228


Laura Hudlow

Laura.Hudlow@dch.ga.gov

404-463-5073


Northwest Georgia Regional Commission

Taesha Ward

Taesha.Ward@dch.ga.gov

404-463-3412


Sherryl Sledge

Sherryl.Sledge@dch.ga.gov

404-463-1897


River Valley Regional Commission

Carolyn Porter, RN

Carolyn.Porter@dch.ga.gov

404-651-7473


Charlene Bailey

Charlene.Bailey@dch.ga.gov

404-463-1898


Three Rivers Regional Commission

Carolyn Porter, RN

Carolyn.Porter@dch.ga.gov

404-651-7473


Charlene Bailey

Charlene.Bailey@dch.ga.gov

404-463-1898


Southern Georgia Regional Commission

Jill Crump

Jill.Crump@dch.ga.gov

404-657-7228


Sherryl Sledge

Sherryl.Sledge@dch.ga.gov

404-463-1897


Southwest Georgia Council on Aging (SOWEGA)

Jill Crump

Jill.Crump@dch.ga.gov

404-657-7228


Charlene Bailey

Charlene.Bailey@dch.ga.gov

404-463-1898


CCSP Unit Manager

Tom Underwood

tunderwood@dch.ga.gov

404-463-8365


Tom Underwood

tunderwood@dch.ga.gov

404-463-8365


CCSP Administrative Assistant

Latosa Boswell

lboswell@dch.ga.gov






CCSP Provider Specialist ALS Family Management Agency assignments:


Charlene

Laura

Sherryl

Truecare
SOWEGA

Georgia Health Service NE

Altrus
Coastal

Regency Health
River Valley

Cherokee Angel
ARC

Statewide Health Care
Coastal

Caring Together
CSRA

Heavenly Sunshine
NE

Another Alternative
ARC

PRN Nursing
Middle

Care Plus
ARC

Love and Hope
CSRA

Alternative Family
Middle

Intergenerational Resource
ARC

Jesus Is Lord
CSRA

Vision PCH
Middle

Faith Health Services
ARC

Samaritan Care
CSRA

Auspice Alternative
CSRA

Alegna
ARC

Averett Healthcare

River Valley



Friendly Neighbors
Three Rivers




Haven of Hope
CSRA







Concerned Care
CSRA



CCSP DCH Program Integrity Updates:



SFY 2018 Schedule for DCH Program Integrity CCSP Satisfaction by Service & Compliance Monitoring
Q1: ALS F (July 2017 Dec 2017)
Q2: ALS G (July 2017-Dec 2017)
Q3: ADH (Jan 2018-Mar 2018)
Q4: PSS (April 2018-June 2018)




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Network Meeting

November 8th, 2017



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