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§ 49-4-169. Legislative Findings and Intent

The General Assembly finds that changes in the approval process of certain health care programs have made it difficult for children with disabilities who are eligible for medical assistance pursuant to Article 7 of this chapter to receive the services to which they are entitled with the frequency and within the time periods which are […]

§ 49-4-188. Assistance for Qualified Aliens

As used in this Code section, the term “qualified alien” means a qualified alien as defined in Section 431 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, as amended, Public Law 104-193. Qualified aliens will be eligible for assistance under the Georgia TANF Program upon meeting the same qualifications and conditions as […]

§ 49-4-169.1. Definitions

As used in this article, the term: “Correct or ameliorate” means to improve or maintain a child’s health in the best condition possible, compensate for a health problem, prevent it from worsening, prevent the development of additional health problems, or improve or maintain a child’s overall health, even if treatment or services will not cure […]

§ 49-4-190. Construction of Article

It is the intention of the General Assembly that this article be construed consistently with Part A of Title IV of the federal Social Security Act, as amended, and so as to authorize the Department of Human Services, within the appropriations provided to it, to administer the state plan in a manner so as to […]

§ 49-4-169.3. Requirements Relating to Administrative Prior Approval for Services and Appeals; Statutory Construction

The department shall develop and implement for itself, the care management organizations with which it enters into contracts, and its utilization review vendors consistent requirements, paperwork, and procedures for utilization review and prior approval of physical, occupational, or speech language pathologist services prescribed for children. Prior approval for therapy services shall be for a period […]

§ 49-4-162. Program Established; Purposes; Assets to Be Disregarded With Respect to Medicaid Eligibility or Payment or Recovery by the State of Payments for Medical Services

In accordance with Section 6021 of the Federal Deficit Reduction Act of 2005, there is established the Georgia Qualified Long-term Care Partnership Program which shall be administered by the Department of Community Health, with the assistance of the Commissioner and the Department of Human Services, and which shall be for the following purposes: To provide […]

§ 49-4-163. Eligibility for Asset Disregard; Reciprocal Agreements With Other States to Extend Asset Disregard Mutually

An individual who is a beneficiary of a Georgia Qualified Long-term Care Partnership Program approved policy is eligible for assistance under the state Medicaid program using asset disregard pursuant to the provisions of subsection (c) of Code Section 49-4-162. If the Georgia Qualified Long-term Care Partnership Program is discontinued, an individual who purchased a Georgia […]