{"ref":"GA-HC-BUS-03","title":"Georgia Medicaid Waiver Services","category":"Business","summary":"If the Agency serves participants of a Georgia Medicaid home and community-based services waiver, requires it to enroll and stay enrolled correctly, deliver only authorized services, work with each participant's case manager or care coordinator, follow the program manual for that waiver, and keep the records and disclosures the Medicaid program requires.","inShort":["Some clients receive services through a Georgia Medicaid waiver program. They have all the same rights as other clients.","Give only the services in the client's service plan. Do not add or change waiver services on your own.","Tell your supervisor about changes in the client's condition, missed visits and incidents. The supervisor tells the case manager.","Never delay an abuse report to tell the case manager first.","Record every visit accurately. Medicaid records can be audited."],"primaryCitation":"42 CFR §441.301","citations":["O.C.G.A. §49-4-168 et seq.","Ga. Comp. R. & Regs. 111-8-65-.09(2)","Ga. Comp. R. & Regs. 111-8-65-.09(4)","Ga. Comp. R. & Regs. 111-8-65-.12","Georgia Medicaid Part I Policies and Procedures for Medicaid/PeachCare for Kids","Georgia Medicaid Part II Policies and Procedures (waiver program manuals)"],"federalCitations":["42 CFR §441.301","42 CFR §441.302","42 CFR §447.15","42 CFR §455.104","42 CFR §455.105","42 CFR §455.106","42 U.S.C. §1396b(l)"],"surveyorAsks":["Which Medicaid waiver programs do you serve, and where is your current provider manual?","Show me the service authorization for this participant and the visits you delivered against it."],"forms":[{"ref":"GA-HC-BUS-03-A","title":"Waiver Service Authorization Tracking Sheet"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §441.301)","5. Enrollment and Program Manuals","6. Delivering Authorized Services","7. Working with the Case Manager or Care Coordinator","8. Records and Audits","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. Revision History"],"version":"1.0","sample":false,"pack":"ga-phc","state":"Georgia","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}