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  Monday, July 24, 2017

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(click to hide) Alert Message posted 2/20/2017
New CMO Announcement
Beginning July 1, 2017, the Georgia Families® program will provide members a choice of four Care Management Organizations (CMOs): Amerigroup, CareSource, Peach State Health Plan, and WellCare. Members must select one of the four CMOs during the upcoming Open Enrollment period which will take place from March 1, 2017 through March 31, 2017. Members are strongly encouraged to select one of the four CMOs in order to avoid being automatically assigned to a CMO. Members can visit www.georgia-families.com or call 888-GA-ENROLL (888-423-6765) to speak to a representative who can give them information about the four CMOs and health care providers. Providers can learn more about contracting with the four CMOs by calling the CMOs at the toll-free numbers listed below.

Amerigroup will continue to provide services to foster care, adoption assistance, and select juvenile justice members enrolled in the Georgia Families 360° program.

Amerigroup RealSolutions® in healthcare logo CareSource™ logo peach state health plan™ logo WellCare® of Georgia, Inc. logo
800-249-0442 888-901-0014 866-874-0633 866-231-1821
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Scheduled Site Maintenance

 

During scheduled site maintenance users may experience abnormal behavior ranging from minor interruptions of functionality to general site outages. When necessary, this site may be closed entirely during a maintenance window. The table below shows the regularly scheduled maintenance. All times are in the Eastern timezone.

 Monday - Tuesday1:00 AM - 2:00 AM 
 Wednesday1:00 AM - 2:00 AM and 9:00 PM - 10:00 PM 
 Thursday - Saturday1:00 AM - 2:00 AM 
 Sunday12:00 AM - 7:00 AM 


Upcoming Events

 

ICD-10 Implementation Announcement - DXC Technology will begin accepting ICD-10 diagnoses and surgical procedures on October 1, 2015. Per the federal mandate, claims submitted for services rendered on or after October 1, 2015 must include ICD-10 codes. Claims submitted for services rendered before October 1, 2015 must continue to include ICD-9 codes. Refer to the UB 04 billing manual for ICD-10 rules specific to this claim type. ICD-10 has no direct impact on Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS). Please continue to review the announcements provided on the Provider Notices page that is found under the Provider Information menu for details regarding the migration to ICD-10 as well as any future notifications from CMS if the October 1, 2015 date is changed in the future.

GAMMIS Web Portal Overview

 

The Georgia Medicaid Management Information System (GAMMIS) serves as the primary web portal for Medicaid, PeachCare for Kids® and all related waiver programs administered by the Department of Community Health's Medical Assistance Plans Division. The GAMMIS portal provides timely communications, data exchange and self-service tools for members and providers with both secure and public access areas.

Members of the public can obtain general information, find a provider and learn more about various Medical Assistance Plans.

Medical Assistance Plan Members can use their ID number and password to enter a secure area to check the status of their enrollment or a request for prior approval.

Medical Assistance Plan Providers can access a wealth of information including notices, manuals, fee schedules, forms, training and more. Providers can also enroll to become a participating provider using the Enrollment Wizard, which includes the ability to track the application status. Once enrolled in Georgia's Medical Assistance Plans, providers can use their Provider ID number and Personal Identification Number (PIN) to enter a secure area of the portal to access claims and remittance information as well as confirmation of Medical Assistance Plan member eligibility.

Member and Provider Surveys are conducted from time to time for process and service improvement.

DXC Technology is the fiscal agent for the Georgia Department of Community Health.

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