For questions not answered in this Guide, please contact HPES at 1-800-766-4456. www.mmis.georgia.gov Updated 11/28/2011 Service These programs offer an array of services designed specifically for the population such as support employment, residential services, specialized medical equipment and supplies, vehicle adaptation and behavior support services. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or intermediate care facility for people with intellectual or developmental disabilities. The waiver has been approved for a five-year period effective April 1, 2021. Your Medicare Administrative Contractor (MAC) is specific to the region where you practice and may have additional requests for information while they process your application. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. Before sharing sensitive or personal information, make sure youre on an official state website. https:// CCSP gives these individuals access to services that are essential for daily life so that they may remain in their homes and communities. Some of those are described in this guide and include Applications are accepted by DCH in March and September of each year. [L(1+R`X#o$(WN:roBGu8k=YCx:F1#(X96nD|/:j3ZagB}JLv] )PE
8_{3YWx^9nDz)v The 12 ADRC offices are identified by counties served. Once the LOI has been approved, you will receive an invitation to apply. Care Waiver Program (ICWP) >{u9xqH E O"'@I:w PPx) &~}o)`p &.=a0qL U" P$ To provide services in other counties, you can find the appropriate AAA ataging.georgia.gov. To apply for services in either program, contact the Georgia Aging and Disability Resource Connections(ADRC). C;y}r_a^mTN\;
y~%[Bd\;iPC#_I Enhanced case management service is available to individuals who require coordination and oversight through a primary care physician as part of the team. CCSP recipients have a monthly income between $400 and $2523 per month. PRvH}+m`\=G7&%/^(Z0XxS{'h2LA)eVPac2*GQrFi0:pNQl+#sWD9; ZzkqkYf|; _%WmW S&~O1: .mrQbO`e1$+-|b&s5A&HpTNG>sYz
(V] l{T 3CYNK^oE`!|nyM\,"7FK! .gov ). Learn more Apply for Service Options Using Resources in a Community Environment (SOURCE) FAQ for behavioral health providers regarding prior authorization for individual and family therapy codes The NOW and COMP Waiver Programs provider services and support for people with intellectual or developmental disabilities. endstream
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IeH")DW_OUOx.IwE&-M-,(YzPf*w{bv@oLNr%L^>?~cd{\o\t(Kh]sv2n{s4o6;kwa~j}w}Z"/)KA4-BKA Fm=" H I2 A4$Rm0, yRLo_g^:ULoBJ u84e)\.RP~)ffje__7_WOmp/g9s__k]0oN5kl]0 OT}gq^_i^^+* An official website of the State of Georgia. ]O'C Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, GA Partial Approval Letter (HCBS Initial Spending Plan), Medicaid Sign-Up Portal (Georgia Gateway). access the EDWP Public Notice click here. Initial Spending Plan Projection and Narrative for the ARPA10% point increase in FMAP for HCBS. For access to services and immediate crisis help, call theGeorgia Crisis & Access Line(GCAL) at1-800-715-4225, available 24/7. endobj
or For common provider enrollment questions and guides, access the FAQ for Providers page under the Provider Information menu. HP Enterprise Services (HPES) is the Fiscal Agent for Georgia Medicaid. about a provider in your area call: 404.657-7211 Division of Medical Assistance Plans under the Department of Community Health . Community Upon completion of the enrollment process, approved providers are issued a Medicaid provider number and able to participate in the Georgia Medicaid program. Local, state, and federal government websites often end in .gov. An official website of the State of Georgia. As a general rule of thumb, in 2022, senior applicants for a HCBS Waiver are limited to $2,523 / month in income and $2,000 in assets. However, misconceptions Read More, As Metro Atlantas Area Agency on Aging, ARC Serves Needs of Older Residents As the planning agency for the Atlanta region, the Atlanta Regional Commission Read More. U%:I("r-*gQF+'W8>wT, HjF The ICWP offers services to a limited number of adults who apply between the ages of 21 and 64. If your agency provides one of the following services, you may wish to enroll as a Medicaid waiver provider: To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). ]4@P-Ek/lRM3sGIU8U4O)Llo[Onnq#VqltfR_Sy*(^4C#fK.[?;Y,DtK/4:P^+hcJy{ld" If the DCH application is denied, you are notified by DCH and advised of the next steps. A guide to Medicaid Waiver Programs in Georgia is now available. Eligibility Requirements for being a CCSP Provider Any provider agency applying to be a CCSP Medicaid Provider must meet the following criteria: a. <>
To apply for services contact a GAPP provider agency directly. Services must be recommended by a licensed physician or other licensed practitioner of the healing arts acting within their scope of practice under state law to prevent the progression of ASD, prolong life, and promote the physical and mental health of the individual. Review the steps outlined below for the process to become an approved DBHDD provider for either Behavioral Health (BH) Services or Intellectual and Developmental Disability (I/DD) Services. HV[oF~WTGGjHj$RopC`3;|3WC__S=dytLuRvt\_?F"VV#u89_"d:!#t02sU89Q5^'V4uprzyu 2?9U
$,"}S*A#>e.P)~' GL]M! The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) provides day-to-day operations in these programs through six regional field offices. HCBS Guide (4.17 MB) Waiver programs help people who are elderly or have disabilities and need help to live in their home or community instead of an institution such as a nursing home or ICF-MR. The Georgia Department of Community Health (DCH) values all physician and health care provider contributions to the health and well-being of all Georgians. Another option for frail, elderly, and disabled Georgians that provides coordinated services in their home or community. Independent Care Waiver Program (ICWP) ICWP offers services to a limited number of adult members with physical disabilities, including persons with traumatic brain injuries (TBI). Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. 5 0 obj
You may access this form here: https://www.georgiacollaborative.com/providers/forms/. ) - Updated 3/10/20. Apply to become a Medicaid Waiver Provider To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). <>
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We can help connect you to privately and publicly funded resources from more than 26,000 community-based providers. Potential Provider Information . For more information on how to apply, visitGeorgias Department of Community Health website. The Provider Enrollment Unit can be reached at the following: Fill out the Contact Us form. 451 0 obj
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Our research finds the funding amounts for PERS services ranged from $25 - $75 / month. All Contacts. Local, state, and federal government websites often end in .gov. You can also contact GMCF at www.gmcf.org. Apply for Elderly & Disabled Waiver Program Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP), Options Using Resources in a Community Environment (SOURCE, Amendment Application for Georgias Elderly & Disabled Waiver Program, Amendment Application for Comprehensive Supports Waiver Program, Department of Behavioral Health and Developmental DisabilitiesServices, Georgia Aging and Disability Resource Connections, GAPP provider manual on the GAMMIS website, Third Party Liability Services Procurement, Childrens Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Health Insurance Premium Payment Program (HIPP), 2020 Georgia Families 360 Monitoring and Oversight Committee, 2019 Georgia Families 360 Monitoring and Oversight Committee, Georgia Medicaid Electronic Visit Verification, PSS / CLS / Claims Implementation Archive (2018 2021), Georgia Money Follows The Person (Ga MFP), Infant and Early Childhood Behavioral Health Services, Medicaid Enterprise System Transformation (MEST), Non-Emergency Medical Transportation FAQs, Non-Emergency Medical Transportation (NEMT) Procurement, Planning for Healthy Babies Program Overview, Planning For Healthy Babies Annual Reporting, Planning For Healthy Babies Semi-Annual Reporting, Planning For Healthy Babies Quarterly Reporting, Planning For Healthy Babies Summative Evaluation Reporting, Right from the Start Medical Assistance Group, service coordination (help with managing care needs and services), personal support (assistance with daily living activities, i.e. Per DCH policy you must wait one (1) year before submitting another application. The Community Care Services Program (CCSP) is a Medicaid-funded program that serves individuals with limited income and resources who have the kinds of needs that would qualify them for nursing home care. Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. To apply for services in the ICWP, contact Alliant Georgia Medical Care Foundation (GMCF) at 800-982-0411 or 888-669-7195. The Program Specialist may occasionally send Banner messages through web portal for important notifications. ) ]v&'0 pHin@ hf9^ Eligibility for ICWP is based on either a nursing facility or hospital level of care for adults with severe physical disabilities or traumatic brain injury (TBI). Visit the DCH waivers webpage at: https://dch.georgia.gov/waivers September 2017 Georgia Department of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404 . Available services include personal support, home health services, specialized medical equipment and supplies, counseling, emergency response systems, and home modifications. Waiver Renewal Application 6 0 obj
Heres how you know. - Updated 3/10/20. endobj
For more information on how to apply, visit Georgia's Department of Community Health website. . Try not to admit members until you have an understanding of ICWP The ICWP Policy is updated quarterly. To be eligible for NOW or COMP Medicaid Waiver services, a person must have an intellectual disability - or a closely related developmental disability, such as autism, cerebral palsy, or epilepsy - which substantially impairs intellectual or adaptive functioning. User Information PDF Reader Required Emergency Number: For emergency mental health, developmental disability or addictive disease services, call: Georgia Crisis & Access Line: 1-800-715-4225 lock 5 You can decide how often to receive updates. Your MAC can help you navigate the enrollment process and answer questions about your application. How you know. - Posted 02/16/21, New - Updated 3/10/20. For more information on how to apply, visit, Georgias Department of Community Health website, ARC has no active role in processing or approving applications to become a Community Care Services Program (CCSP) provider. Senior Community Service Employment Program (SCSEP), About Abuse, Neglect, and Exploitation of At-Risk Adults, Georgia Alzheimer's Disease & Related Dementias State Plan, Facebook page for Division of Aging Services | Georgia Department of Human Services, Twitter page for Division of Aging Services | Georgia Department of Human Services, Linkedin page for Division of Aging Services | Georgia Department of Human Services, YouTube page for Division of Aging Services | Georgia Department of Human Services. The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. This program is available for eligible Medicaid members who are severely physically disabled and between the ages of 21 and 64 when they apply. To be eligible for Medicare, a . A list of the applicable manuals is below. You may view the appropriate policies, and their attachments, by clicking on the links below: Both interested I/DD and BH providers are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website:https://dbhdd.georgia.gov/community-provider-manuals.
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Enroll using PECOS,i the online Medicare enrollment system. Offers services for individuals with intellectual and/or developmental disabilities who require an intermediate care facility. Georgia Pediatric Program (GAPP) Provider News. ) and ( Providers offering Personal Support Services and Skilled Nursing must have their license from DCH for at least nine (9) months as of the month of application to become a CCSP provider. *x(Pi An official website of the State of Georgia. click (click to hide)Alert Message posted 3/27/2020, Skip to Provider Enrollment Subsystem Menu. Services are provided in their homes and communities and includenursing services to address the need for skilled professional services and personal care support services that assist with activities of daily living. Each program offers several "core" services: Additional services are available under each program. ;e_\7b%A6q%Phzp'|gToI1]si
NpQ,*uqx:JjvL}AjU+qi,. In addition to the waiver programs, Georgia offers other services through the regular Medicaid program designed to support people in their homes and communities. x5j7-Ip/6xH2KYq^_|>!rG /|"=Ng|;P61-o^LuJ-^|x Ilo{YP[o
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Found in the Elderly & Disabled Waiver Program, the CCSP and SOURCE Programs serve frail elderly and disabled Georgians otherwise eligible under a nursing facility level of care through the provision of case management for service coordination, adult daycare, alternative living services, personal care, home-delivered meals, and respite care for family caregivers. For those services that require a state license, your agency must already be licensed by the DCH Division of Healthcare Facility Regulation in order to attend a CCSP Provider Consult. 2023 Atlanta Regional Commission. Provider agency must have the legal right to conduct business in the State of Georgia (i.e., current business license or other proof of legal authorization) b. Amendment Application for Comprehensive Supports Waiver Program Gather What You'll Need stream
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To qualify, you must be eligible for Medicaid and: Be at least 65 years old (or, if younger than 65, meet certain disability requirements), Be impaired by physical limitations, Choose to receive services in your home or community instead of a nursing home, and Participate in only one waiver program at a time. The Options Using Resources in a Community Environment (SOURCE PECOS has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. The CCSP Provider Consult is not a general information session. PIQ ~R(P1 How you know. For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. Georgia is enrolling board certified behavioral analysts to provide ABS. endstream
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You can also contact GMCF at www.gmcf.org . Serves frail, elderly, and disabled Georgians by providing coordinated services in their home or community. I. In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. endobj
I. You may view the appropriate policies, Recruitment and Application to Become a Provider of Developmental Disability Services, 02-701, Recruitment and Application to become a Provider of Behavioral Health Services, 01-111, Financial and Reporting Requirements for Community Providers, 21-101. are encouraged to review the applicable Provider Manuals for Community Providers, located on the DBHDD website: https://dbhdd.georgia.gov/community-provider-manuals, Provider Manual for Community Behavioral Health Providers, Provider Manual for Community Developmental Disability Providers. Special Notice:Ending July 1, 2022, the Department of Community Health accepted public comment for a 30-day period on the New Options Waiver (NOW) and the Elderly and Disabled Waiver Program (EDWP) to renew both waiver programs. Waiver State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. This guide will help you enroll in three steps. (You can still use this guide if you dispense Part B drugs used with DMEPOS, such as inhalation drugs. HVKo8WH(K@Q E]n=j/8jCdYi)f7B ; You don't want to bill Medicare for your services, but you do want enroll in Medicare solely to order and certify. All new providers are required to submit a completed DDA Medicaid Waiver Provider Application and submit the required supporting documentation in the form of policies and procedures, licensure and/or certification that demonstrates the provider agency's compliance with the specific rules for each of the waiver services the provider agency is Both manuals can be found in the Medicaid web portal under Policy Manuals. {UQ2R`%c`VT:dpCU2T_(Fd$+*JFzd JFbJFfdJF:dC C0\
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.(6D!,M|YK` Click here for help and information about bookmarks. To apply for services in one of these programs, please refer to the Department of Behavioral Health and Developmental DisabilitiesServices (DBHDD). For state Medicaid, a senior applicant is usually limited to either $841 / month or $1,133 / month in income and $2,000 in assets. Use this guide if any of the following apply: You're a health care provider who wants to bill Medicare for your services and also have the ability to order and certify. In recent years, public understanding and support of transgender (also known as trans) people and the issues that impact them has generally grown. Many people qualify to receive Medicaid, but first you have to apply. Aging and Independence Services: a Q&A with Becky Kurtz, Metro Atlanta/DeKalb County Digital Connectivity Listening Session, Personal Support Serviceassistance with bathing, light housekeeping, laundry, shopping, meal preparation, and respite (caregiver relief), Alternative Living Servicesmeals, personal care, and supervision in an approved personal care home. 215 0 obj
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access the NOW Draft Application click here. (706) 792-7741 OR (800) 348-3503. Before sharing sensitive or personal information, make sure you're on an official state website. FAQs Medicaid provides access to free and low-cost medical care in Georgia. endobj
This information is located on the Georgia Medicaid Management Information System (GAMMIS) website at: https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. X Providers HCBS Incident Reporting System Medicaid Pharmacy Preferred Drug Lists Provider Forms Provider Types Public Notices . J0xhcni).P~EJRt l ^E`>XBI!_~ 4 0 obj
Potential Provider Information . As an interested I/DD provider, you will find it helpful to review the Medicaid Provider Manuals for both the Comprehensive Supports Waiver Program (COMP) and the New Options Waiver (NOW) Program. To grow a client base by becoming a CCSP provider, your agency must apply and be approved by the Georgia Department of Community Health (DCH). lv}WU:Zm~Z55*BT%ws]Qw4@ qs1t+ endstream
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A guide to Medicaid Waiver Programs in Georgia is now available. The following is a list of waiver programs in Georgia. Call Us. A complete list of Medicaid . endstream
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COMP Sign up to get the latest information about your choice of CMS topics. Medicaid waiver programs provide recipients certain services not normally covered by Medicaid. Home and Community Services Guide Available, American Rescue Plan Act Initial Spending Plan. An official website of the State of Georgia. access the EDWP Draft Application click here. Use this guide if any of the following apply: If you already have an NPI, skip this step and proceed to Step 2. State of Georgia government websites and email systems use "georgia.gov" or "ga.gov" at the end of the address. ; You wish to provide services to beneficiaries but do not want to bill Medicare for your services. 0
Ready to become a Medicare provider or supplier? Local, state, and federal government websites often end in .gov. Not sure if you have an NPI? )aa:bdF:. The latest articles and announcements on Amerigroup policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more: Medicaid updates. As an interested BH provider, you will find it helpful to review the Medicaid Provider Manual for Behavioral Health Services on the GAMMIS website at the following link:https://www.mmis.georgia.gov/portal/PubAccess.Provider%20Information/Provider%20Manuals/tabId/54/Default.aspx. Before sharing sensitive or personal information, make sure youre on an official state website. Email Us. How you know. If you applied online, you can keep your information up to date in PECOS. These manuals, listed below, will provide you with the definition of services and the associated standards. We could be the answer you've . The DBHDD Provider Enrollment Process is guided by specific DBHDD policies. You can apply for an NPI on the NPPES website. R Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. This email will contain information regarding New Provider Orientation. Amendment Application for Georgias Elderly & Disabled Waiver Program - Posted 2/21/19, Waiver An official website of the State of Georgia. YouTube page for Georgia Medicaid; How can we help? For instructions and forms related to provider enrollment, access the Enrollment Forms page under the Provider Enrollment menu. TcxcA[,0#WjhQGG8+yBXlo?ra7"a6 \u T\\/7el?~=>SA`vL"o[Fo
FGr[syhGuU,em]vW3 km$^\lZT2OJH# Contact Your MAC (PDF). Once the DBHDD application, and if applicable, the site visit is approved, you will be notified to complete the online application for the Department of Community Health (DCH). . Call us at 770-458-8500 or contact us to learn more about obtaining personal care or skilled nursing care from one of our compassionate caregivers under the Community Care Services Program. - Updated 10/20/17. At Health Force of Georgia, we understand the challenges you face taking care of a loved one with needs. 183 0 obj
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Local, state, and federal government websites often end in .gov. Call us at (770) 458-8500 or contact us to learn more about obtaining personal homecare or skilled nursing care from one of our compassionate caregivers under the SOURCE waiver program. h]|;nO73xiKD9 &t&|4>F3 Hd""W;S|i~00T|Attq{pcE^kTuU"c`rwLfT|HLn q. Toll Free: (877) 423-4746. Before sharing sensitive or personal information, make sure youre on an official state website. website belongs to an official government organization in the United States. If the DCH application is approved, DBHDD will notify you via an email communication of your approval as either a BH or I/DD Provider. NPIs are issued through the National Plan & Provider Enumeration System (NPPES). Options Waiver Program (NOW) and Comprehensive Supports Waiver Program (COMP) If the DCH application is approved, DBHDD will notify you via an email communication of your approval as either a BH or I/DD Provider. Many state waivers also offer a single reimbursement of between $40 - $200 intended to cover any installation or startup fees associated with a PERS service. 3 . The Provider Enrollment Unit can be reached at the following: In response to the Centers for Medicare & Medicaid Services (CMS) approval of Medicaid Section 1135 Waivers for COVID-19, the State of Georgia Department of Community Health will expedite new enrollment applications until further notice. +V:NvRXA1/Nari4V }~+U#Y7*vv5/k*3SX7s>_M 431@*5V)*MNd
xc|DX?2l*;nB6}o94d}p7a{31}wBbyJ8-T H+v You must register and attend a New Provider Enrollment Forum, presented by the Georgia Collaborative ASO. Medicaid Waiver Population Served/ Eligibility Financial Eligibility Services Provided Wait List Cost Share Case Manager Intake . Call the local number (770) 325-9600 Call the toll-free number (800) 766-4456 ! Vaf@=&wxh$R g|gV]7%ABkktO |jz*)%sjp>Zx/MWE&SDU`v . Local, state, and federal government websites often end in .gov. However, ARC does provide CCSP Provider Consults for those providers that will provide service in Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry, or Rockdale counties. Before sharing sensitive or personal information, make sure youre on an official state website. Primary: (404) 657-5468. Georgia's Medicaid Waivers & Programs . You can also check in with your MAC regarding your enrollment status. the Georgia Elderly and Disabled 1915c Medicaid Waiver and provides Home-and Community-Based Services to frail elderly and physically disabled people . Applications are accepted by DCH in March and September of each year. Search the NPI Registry. How you know. p?.e^Tv+2,[P3-Nj` @Fy
Apply for Medicaid Medicaid has several programs that can help you or your family. 197 0 obj
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lock Pursuant to 42 C.F.R. Secure .gov websites use HTTPSA Thank you for your interest in becoming a provider for DBHDD! "xG^FZh;O8\iy^0AFeE#~-aB _mh K)Z3r
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/w.s}7U1242LV.2eH2*M[w+uFA:x7FX8ztjf#;R_kUMFUu2gKa7{=/9v@a*Uj3^ T 9srz>n.QI>dY294? h[j}~tU1cG[J+Vkp>U=JV@`L:]UCp.]@.&r&, Interested applicants must begin the process again at Phase 1, step 1 in a subsequent enrollment period at least one (1) year after the denial decision. Each state has its own waivers and each waiver, its own policy. stream
hmO6?}`w h! The Division of Medicaid, in the Office of the Governor, will submit this proposed waiver to the Centers for Medicare and Medicaid Services (CMS) effective July 1, 2023, contingent upon . State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. An official website of the State of Georgia. Potential CCSP Provider . Persons served through the CCSP Program must be eligible for Medicaid and meet the following requirements: Have cognitive and or physical impairments/limitations which make it difficult to perform normal daily living activities and live independently Complete and submit the applicable DBHDD New Provider Application, located at the following link: If required, when the DBHDD application review has been completed , a site visit will be conducted by the appropriate Regional Field Office. here CCSP Provider Consults with the appropriate AAA are a required activity to complete the application process to become a CCSP provider. CX