Member Login | Join HCAOA
Home Care Association of America
  • Membership Resources
    • Member Login
    • Code of Conduct
    • Resources
    • Newsletters
    • Product & Services Guide
    • Join HCAOA
    • Member-Get-A-Member
    • Benefits: Agency Membership
    • Benefits: Associate Membership
  • State Chapters
    • State Chapters
  • Education/Events
    • Calendar
    • On-Demand Video Library
    • 2025 National Home Care Conference >
      • Exhibitor Opportunities
      • Sponsorship Opportunities
  • Advocacy/Policy
    • Advocacy Fund
    • Issues & Positions
    • Legislative Action Network
    • State & Federal Legislative and Regulatory Tracker
    • Industry Reports
    • Home Care by the Numbers
  • About HCAOA
    • Mission & Vision
    • Board of Directors
    • Committees
    • Staff
    • Caregiver of the Year Award >
      • 2025 Nomination Form
    • News Releases
    • Sponsorship Opportunities
    • Contact Us
  • Find a Job

Georgia DCH Reminder For Medicaid Provider Revalidation

9/13/2023

0 Comments

 
Picture
Representative Jesse Petrea has forwarded an update that he received earlier today concerning the approaching deadline of September 15th for all Medicaid providers to revalidate their credentials. This revalidation process must be completed to assure that providers continue to receive their Medicaid reimbursements for services rendered to Medicaid members.

Please note the following key items:

  1. Per Federal Regulations, State Medicaid Agencies must revalidate the enrollment of ALL providers regardless of provider type. (See 42 CFR 455.414). Per DCH’s Centralized Credentialing Verification Organization (CVO), we require providers to revalidate every three years. 
  2. Over the years, DCH has extended the deadline for providers to complete the revalidation process. Most recently, in 2019, DCH opted to extend the deadline for providers to revalidate. Thereafter, revalidation requirements were paused due to the national Public Health Emergency.  
  3. Throughout the PHE, Gainwell Technologies, a vendor acting on behalf of DCH, conducted direct outreach to providers to encourage them to complete the revalidation process.
  4. We have made significant effort to keep providers informed about the requirement to revalidate, including direct mailings, banner messages (mass communications that are sent to all enrolled providers), and presentations in various public forums, including Medicaid Fairs, Care Management Committee meetings, the Georgia Hospital Association, Georgia Academy of Pediatricians, and HomeTown Health.  
  5. Many providers have still not completed this requirement despite continued outreach, and DCH anticipates that some will miss the deadline. Once the deadline has passed, and they are suspended as providers, they will be unable to receive reimbursement for services. We anticipate these providers will begin to reach out at that time regarding unpaid claims.
  6. If a provider allows their credentials to lapse, they will not be reimbursed for claims during the period between September 15 and when they do submit their revalidation. There will not be a retroactive period for unpaid claims.
  7. The revalidation process only takes about 20 minutes to complete. Gainwell has developed a step-by-step guide to assist providers with understanding how to complete the requirements. This has been posted on the provider website, mmis.georgia.gov.

If you haven’t already completed your revalidation process, please be sure to do so no later than September 15, 2023.

For further information, please contact:
  • Dave Lamb, Legislative Chair, HCAOA Georgia Chapter
  • E:  [email protected]

Please click here for more information on the Medicaid Provider Revalidation Process.
0 Comments



Leave a Reply.

    Archives

    June 2025
    May 2025
    April 2025
    March 2025
    February 2025
    January 2025
    December 2024
    November 2024
    October 2024
    September 2024
    August 2024
    July 2024
    June 2024
    May 2024
    April 2024
    March 2024
    February 2024
    January 2024
    December 2023
    November 2023
    October 2023
    September 2023
    August 2023
    July 2023
    June 2023
    May 2023
    April 2023
    March 2023
    February 2023
    January 2023
    December 2022
    November 2022
    October 2022
    September 2022
    August 2022
    July 2022
    June 2022
    May 2022
    April 2022
    March 2022
    February 2022
    January 2022
    December 2021
    November 2021
    October 2021
    September 2021
    August 2021
    July 2021
    June 2021
    May 2021
    April 2021
    March 2021
    February 2021
    January 2021
    December 2020
    November 2020
    October 2020
    September 2020

    Categories

    All
    Accreditation
    Advocacy
    AI
    Alabama
    Arizona
    Award
    California
    Caregiver
    Chapters
    Colorado
    Conference
    Connecticut
    COVID 19
    COVID-19
    Data
    Delaware
    District Of Columbia
    Education
    Florida
    Georgia
    Hawaii
    Illinois
    Immigration
    Indiana
    Iowa
    Kansas
    Kentucky
    Legal
    Legislative
    Massachusetts
    Medi
    Medicaid
    Medicare
    Member Benefits
    Member News
    Michigan
    Minnesota
    Nevada
    New Jersey
    New Mexico
    New York
    North Carolina
    Ohio
    Oregon
    Pennsylvania
    Recruitment
    Reimbursement
    Research
    Rhode Island
    South Carolina
    South Dakota
    Sponsorships
    Technology
    Tennessee
    Texas
    Vendor
    Veterans Administration
    Virginia
    Washington
    West Virginia
    Wisconsin
    Workforce
    Wyoming

    RSS Feed

    Upcoming Events

Picture
HCAOA
About
Committees
Board
Staff

Chapters
State Chapters
Products/Services
Advertise with Us
Products & Services
Find a Job


Follow Us
Phone: 202-519-2960​ | 444 N. Capitol Street NW, Suite 428 |  Washington, DC 20001
[email protected]
 |
sitemap
​
© 2024 Home Care Association of America.  All Rights Reserved. | Privacy Policy | Refund Policy
  • Membership Resources
    • Member Login
    • Code of Conduct
    • Resources
    • Newsletters
    • Product & Services Guide
    • Join HCAOA
    • Member-Get-A-Member
    • Benefits: Agency Membership
    • Benefits: Associate Membership
  • State Chapters
    • State Chapters
  • Education/Events
    • Calendar
    • On-Demand Video Library
    • 2025 National Home Care Conference >
      • Exhibitor Opportunities
      • Sponsorship Opportunities
  • Advocacy/Policy
    • Advocacy Fund
    • Issues & Positions
    • Legislative Action Network
    • State & Federal Legislative and Regulatory Tracker
    • Industry Reports
    • Home Care by the Numbers
  • About HCAOA
    • Mission & Vision
    • Board of Directors
    • Committees
    • Staff
    • Caregiver of the Year Award >
      • 2025 Nomination Form
    • News Releases
    • Sponsorship Opportunities
    • Contact Us
  • Find a Job