NOW/COMP - Marilyn Ellis (email@example.com) at 404-651-9174
Host Homes 404-657-2312
Find It in the Manual: CCSP - Medicaid Provider Manuals –www.mmis.georgia.gov
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)-
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 inthe October 2017 (SFY 18) Edition ofthe CCSP PolicyManuals: 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 firstname.lastname@example.org 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.
SFY 2018Schedule 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)