§ 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 […]
§ 49-4-160. Short Title
This article shall be known and may be cited as the “Georgia Long-term Care Partnership Program Act.” History. Code 1981, § 49-4-160 , enacted by Ga. L. 2005, p. 823, § 1/HB 643; Ga. L. 2006, p. 72, § 49/SB 465. Cross references. Long-term care insurance, § 33-42-1 et seq.
§ 49-4-161. Definitions
As used in this article, the term: “Asset disregard” means, with regard to state Medicaid benefits, the disregard of any assets or resources in an amount equal to the insurance benefit payments that are made to or on behalf of an individual who is a beneficiary under a qualified long-term care insurance partnership policy. “Commissioner” […]
§ 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 […]
§ 49-4-145. Time Limitations on Claims for Assistance; Form of Claims
Claims for medical assistance must be submitted not more than six months after the month in which the service is rendered and shall be in the form prescribed by the commissioner, except that the commissioner may, where he finds that delay in submission of claims was caused by circumstances beyond the control of the provider, […]
§ 49-4-152.2. Rebates for Sole-Source and Multiple-Source Drugs Included in Controlled Medical Assistance Drug List
The department is authorized to negotiate and enter into agreements directly with manufacturers and distributors whose prescription drug products are sold in the state for sole-source and multiple-source drugs to be paid for under the state plan for eligible recipients under this article. Such agreements shall provide for a periodic rebate of a negotiated percentage […]