Georgia Medicaid Waiver Services
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.
About this policy
- Policy number
- GA-HC-BUS-03
- Version
- 1.0
- Main rule
- 42 CFR §441.301
- Library
- Georgia home care · 49 policies
- Category
- Business
- Sections
- 16
In short
- 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.
What's inside
16 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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.
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