§ 49-4-142.4. Comprehensive Review of Provider Reimbursement Rates; Development of Proposed Rate Models, Documentation, and Policy Changes
Beginning Fiscal Year 2024, and at least every four years thereafter, the department shall conduct a comprehensive review of provider reimbursement rates for home and community based services covered by the New Options Waiver (NOW) program, the Comprehensive Supports Waiver Program (COMP), the Independent Care Waiver Program (ICWP), the Georgia Pediatric Program (GAPP), and the […]
§ 49-4-142.5. Waiver Request Allowing Medicaid Reimbursement
No later than December 31, 2022, the department shall submit a waiver request to the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services to authorize private institutions for mental disease (IMDs) to qualify for Medicaid reimbursement for mental health and substance use disorder treatment. Upon approval of […]
§ 49-4-143. Power of Board of Community Health; Board of Medical Assistance Abolished
The Board of Community Health established under Chapter 2 of Title 31 is empowered to establish the general policy to be followed by the department. The Board of Medical Assistance which existed June 30, 1999, is abolished July 1, 1999, and no person shall be appointed to such board on or after July 1, 1999. […]
§ 49-4-144. Chief Administrative Officer; Powers and Duties
The commissioner of community health established under Chapter 2 of Title 31 shall be the chief administrative officer of the department and, subject to the general policy established by the board, shall supervise, direct, account for, organize, plan, administer, and execute the functions vested in the department. History. Ga. L. 1977, p. 384, § 6; […]
§ 49-4-140. Short Title
The short title for this article shall be the “Georgia Medical Assistance Act of 1977.” History. Ga. L. 1977, p. 384, § 2. Law reviews. For article, “Privatization of Rural Public Hospitals: Implications for Access and Indigent Care,” see 47 Mercer L. Rev. 991 (1996).
§ 49-4-141. Definitions
As used in this article, the term: “Applicant for medical assistance” means a person who has made application for certification as being eligible, generally, to have medical assistance paid in his or her behalf pursuant to the state plan and whose application has not been acted upon favorably. “Board” means the Board of Community Health […]
§ 49-4-142. Department of Community Health Established; Adoption, Administration, and Modification of State Plan; Drug Application Fees; Personal Needs Allowance
The Department of Community Health established under Chapter 2 of Title 31 is authorized to adopt and administer a state plan for medical assistance in accordance with Title XIX of the federal Social Security Act, as amended (Act of July 30, 1965, P.L. 89-97, 79 Stat. 343, as amended), provided such state plan is administered […]
§ 49-4-142.1. Legislative Notification of Request for Waiver
On and after May 3, 2006, neither the department, the board, nor any other representative of the state shall submit any request to the United States Department of Health and Human Services Centers for Medicare and Medicaid Services for a waiver pursuant to Section 1115 of the federal Social Security Act without legislative notification. This […]
§ 49-4-142.2. Expansion of Medicaid Eligibility Through an Increase in the Income Threshold
On and after July 1, 2014, neither the department, the board, nor any other representative of the state shall expand Medicaid eligibility under this article through an increase in the income threshold without prior legislative approval; provided, however, that this shall not apply to any increase resulting from a cost-of-living increase in the federal poverty […]