January 2015

Volume 4, Issue 1

DCH-i Masthead
Happy New Year from the Georgia Department of Community Health!

Welcome to the first issue of DCH-i for 2015. Please take a moment to review the information contained and be sure to contact us with any questions you may have. To be added to the DCH-i mailing list, email us at dch-i@dch.ga.gov. We hope you'll join us as we continue on our mission to create A Healthy Georgia!
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Online-Only Provider Enrollment Applications for Individual Practitioners Began January 1


Effective January 1, 2015, DCH and Hewlett-Packard Enterprise Services (HPES) will no longer accept paper enrollment applications from individual practitioners. As of that date, DCH will require that all individual providers submit their enrollment applications online through the Georgia Medicaid Management Information System (GAMMIS) at 


DCH is implementing this process to expedite the enrollment process for Georgia Medicaid providers, and to increase efficiency, effectiveness and reduce the administrative burden for the provider community. The change is also part of the ongoing DCH/HP GAMMIS paperless initiative.


All paper application forms will be removed from GAMMIS. Additionally, any paper applications received on or after January 1, 2015, will be returned to the applicant with instructions to submit the application online through the GAMMIS Web Portal.


Individual practitioners enroll in Medicaid through the GAMMIS Web Portal at www.mmis.georgia.gov by:

  • Clicking on Provider Enrollment.
  • Clicking on Enrollment Wizard (scroll to bottom of screen).
  • Clicking on Provider Enrollment Application.
  • Clicking on New Application.
  • For Request Type, selecting Individual or CMO Only Individual.

After the application is completed and has been submitted, you will receive an Automated Tracking Number (ATN). Immediately after submission, you may upload all required documents by clicking on the Upload Required Documents link. To upload the documents at a later time you may:

  • Click on Provider Enrollment.
  • Click on Enrollment Application Status.
  • Type ATN and Last Name of Provider and click on Search.
  • Click on Upload Required Documents.
  • Click on pertinent Attachment Description.
  • Attach a digital copy of your supporting documentation, if applicable.

To check the status of your application:

  • Click on Provider Enrollment.
  • Click on Enrollment Application Status.
  • Type in your ATN and Last Name of Provider and click on Search.

For questions or additional information, contact Medicaid's fiscal agent HPES at 800-766-4456 or email enrollment@dch.ga.gov.

Updated Schedule for ICD-10 Webinars

The Georgia Department of Community Health is here to help with your transition to ICD-10. We encourage you to take advantage of this additional time to practice with the new code set, educate staff and ensure total preparedness. Our ICD-10 webinar sessions are prepared to keep you in the know. Register today for our upcoming webinars to stay up to speed with all that ICD-10 entails.

 

Register Today! 

Thursday, January 22, 2015

ICD-10 Implementation Overview and Updates  

10:30 a.m. ET
Please register here.

ICD-9 codes will be replaced by ICD-10 codes on October 1, 2015. Join the ICD-10 Communications Team to compare the differences and discuss the benefits of ICD-10.

 

Thursday, February 5, 2015 CANCELLED

ICD-10 Survey Says

10:30 a.m. ET

Thursday, February 19, 2015

 ICD-10 Implementation Overview and Updates

10:30 a.m. ET
Please register here

A review of tools and transitioning tips that will assist you and  your organization for the implementation of ICD-10 on October 1, 2015. 

 

As always we encourage you to register for these educational webinars, and we look forward to your attendance. Meanwhile, if you have questions concerning ICD-10 or any of our webinars, please drop a note to the ICD-10 Project mailbox at icd10project@dch.ga.gov.

Sincerely, 

The ICD-10 Project Team
Georgia Department of Community Health

 

 

We encourage you to register today by clicking on the registration link(s) shown above. Once your registration has been received, a confirmation email will be sent to you with log-in information and WebEx tips, so you can make sure your system is compatible. Also note that our schedule of dates and topics is subject to change.

Be sure to join each webinar early. Please note that live webinar presentations are limited to the first 500 attendees joining the event. Should the live webinar event exceed 500 attendees, the recording of that event will be available on demand on the DCH web site within two business days
.


Past ICD-10 Webinar Events

Be sure to visit www.dch.georgia.gov/it-events  for a look at ICD-10 topics presented recently.  Many are recorded and viewable on demand, at your convenience.


MedicaidMedicaid Enrollment Required for Ordering, Prescribing, or Referring (OPR) Providers

 

The Affordable Care Act (ACA) requires physicians and other eligible practitioners who order, prescribe and refer items or services for Medicaid beneficiaries to be enrolled in the Georgia Medicaid Program. On October 1, 2013, pharmacy claims began denying if the prescribing provider was not enrolled as an OPR or rendering provider with DCH. On June 1, 2014, service claims began denying if the ordering, referring or prescribing provider was not enrolled in Georgia Medicaid and the OPR provider's NPI number was not submitted on the claim.

 

Effective January 1, 2015, medical residents may obtain an NPI and Medicaid ID in order to prescribe outpatient prescription medications. Pharmacies may submit the NPI of the medical resident who has signed the prescription on the pharmacy claim in the prescriber ID field. Alternatively, facilities may continue to use a prescription that is countersigned by the attending or supervising physician if they do not wish to enroll their residents and those claims should be billed under the attending's NPI number. Medical residents may only prescribe medications; they may not order, refer or bill other services. 

 

As of January 1, 2015, Licensed Marriage and Family Therapists (LMFTs) and Licensed Professional Counselors (LPC) have been added as "ordering practitioners". Those licensed practitioners in either of these categories who order behavioral health services but, do not render the services will need to complete the required OPR application. For more information, view the revised FAQs document posted on the DCH web site.
2015 Board Meeting Schedule

The Board of Community Health meeting scheduled for Thursday, January 8, 2015 was cancelled. The next Board meeting is scheduled for Thursday, February 12, 2015. The DCH Board meeting schedule for 2015 is now available.

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In This Issue
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About DCH-i  

  

DCH-i is the monthly newsletter from the Georgia Department of Community Health for all matters DCH. It provides timely and important information to you as physicians, dentists, hospitals, third-party payers, vendors, health care advocates, consumers and legislators. Our goal is to help create A Healthy Georgia -- together. Write us at

DCH-i@dch.ga.gov.

 

  This Could Be You!

Do you have a question  
or comment? Tell us
what's on your mind at 
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About DCH

 

2 Peachtree

 

Through effective planning, purchasing and oversight, the Department of Community Health (DCH) provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and underserved populations.

 

 DCH is responsible for Medicaid and PeachCare for Kids, the State Health Benefit Plan, Healthcare Facility Regulation and Health Information Technology in Georgia.      

 

Clyde L. Reese III is the DCH Commissioner.  

 

We are dedicated to
A Healthy Georgia
.   

   

www.dch.georgia.gov 

 

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DCH-i

    

Editor-in-Chief

Jeremy Arieh

 

Circulation

Janice Abrams 

 

Director of Communications

and Legislative Affairs

Lisa Marie Shekell

 

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DCH logo in reverse 

    

DCH Mission

 

We will provide Georgians with access to affordable quality health care through effective planning, purchasing and oversight.

 

 

We are dedicated to 
        A Healthy Georgia.

      

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