§ 49-4-152.6. Medicaid Coverage for Mood Disorders Prescriptions
The department shall provide Medicaid coverage for any prescription drug prescribed to an adult patient and determined by a duly licensed practitioner in this state to be medically necessary for the treatment and prevention of mood disorders with psychotic symptoms, including, but not limited to, bipolar disorders, schizophrenia and schizotypal, or delusion disorders if: During […]
§ 49-4-153. Administrative Hearings and Appeals; Judicial Review; Contested Cases Involving Imposition of Remedial or Punitive Measure Against Nursing Facility
The Board of Community Health is authorized to establish regulations regarding the manner in which the appeals set forth in subsection (b) of this Code section shall be conducted. Any applicant for medical assistance whose application is denied or is not acted upon with reasonable promptness and any recipient of medical assistance aggrieved by the […]
§ 49-4-154. Powers and Duties Retained by Department of Human Resources (Department of Community Health)
The status, position, and rights of persons transferred from the Department of Human Resources (now known as the Department of Community Health for these purposes) to the Department of Medical Assistance pursuant to Ga. L. 1977, p. 384 shall not be affected by the transfer, in and of itself; and such persons shall retain, inter […]
§ 49-4-155. Department of Community Health to Succeed to Existing Rules, Regulations, Policies, Procedures, and Administrative Orders
The Department of Community Health shall succeed to all the rules, regulations, policies, procedures, and administrative orders of the Department of Human Resources (now known as the Department of Human Services) transferred to the Department of Medical Assistance pursuant to the previously existing provisions of this Code section and that are in effect on June […]
§ 49-4-156.1. Reimbursement for Services Rendered Under Article 5 of Chapter 6 of This Title
It is the intention of the General Assembly that the Department of Community Health be authorized to take those actions necessary to provide reimbursement under this article for services rendered under Article 5 of Chapter 6 of this title, relating to community care for the elderly. History. Ga. L. 1982, p. 2248, § 2; Code […]
§ 49-4-157. Construction of This Article With Federal Act
It is the intention of the General Assembly that this article be construed consistently with Title XIX of the federal Social Security Act of 1935, as amended, and so as to authorize the Department of Community Health, within the appropriations provided to it, to administer the state plan in a manner so as to receive […]
§ 49-4-158. Certain Dependents of Military Service Members to Maintain Eligibility and Priority for Certain Medical Assistance and Developmental Disability Services Under Certain Conditions; Waiver to Implement Such Provision; Compliance With Certain Federal Laws, Rules, and Regulations; Definitions
As used in this Code section, the term: “Dependent” means a spouse, birth child, adopted child, or stepchild of a military service member. “Legal resident” means a person who maintains Georgia as his or her principal establishment, home of record, or permanent home and to where, whenever absent due to military obligation, he or she […]
§ 49-4-159. Medicaid Coverage for Lactation and Postpartum Care
The department shall provide Medicaid coverage for: Lactation care and services, as defined in paragraph (5) of Code Section 43-22A-3, to pregnant and lactating women and to children who are breastfeeding or receiving their mother’s milk; and Postpartum care for mothers for a period of one year following the date the pregnancy ends. If necessary […]
§ 49-4-159.1. State Plan Amendment to Implement Express Lane Eligibility in Medicaid and the Peachcare for Kids Program; Enrollment and Renewal
No later than June 30, 2022, the department shall submit a state plan amendment to the federal Department of Health and Human Services to implement express lane eligibility in accordance with section 1902(e)(13) of the federal Social Security Act to determine whether a child meets one or more of the eligibility criteria for and enroll […]
§ 49-4-151.1. Errors or Omissions in Reporting; Right to Hearing; Exclusion
Any clerical or record-keeping error, including but not limited to a typographical error, scrivener’s error, or computer error; any unintentional error or omission in billing, coding, or required documentation; or any isolated instances of incomplete documentation by a provider of medical assistance regarding reimbursement for medical assistance may not in and of itself constitute fraud […]