DCH-i [Sept.-Oct. 2014]

September/October 2014 Volume 2, Issue 7

Georgia Medicaid Begins Transition to Paperless Processes

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To enhance providers' experiences for enrollment, claims filing, appeals and reimbursement, Georgia Medicaid has launched a paperless initiative that will be rolled out over the next six to 10 months. The project will include transitioning to online-only for provider enrollment, claims filing, appeals, and disbursement of payments to providers.
The first component of the program was instituted on September 1, 2014, with the encouragement of online-only enrollment for institutional providers. The department has published a Fact Sheet with details about online-only enrollment.
Other dates for components included in the transition to online-only are:
November 1, 2014 -- Online-only claims filing for certain groups (including dental, Medicare Advantage Plans EOBs, etc., who will be notified directly) December 1, 2014 -- Online-only claims filing for institutional and individual providers January 1, 2015 -- Online-only enrollment for individual providers
Providers are encouraged to enroll in Electronic Fund Transactions/Direct Deposit with their financial institution as soon as possible.
Georgia Medicaid will update providers throughout the transition process through articles in DCH-i, postings to the DCH website under Provider News, banner messages and other communications as this project progresses.
If you have questions, please contact HP at 800-766-4456 or through the Georgia Medicaid Management Information System (GAMMIS) at www.mmis.georgia.gov.
Have You Updated Your Provider Contact Information?

In This Issue
Paperless Processes Transition Begins
Update Your Provider Contact Information
News from ICD-10
Unpaid Funds Policy In Effect
December Medicaid Fair
EHR Incentives
Board Actions
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.

The DCH Revalidation and Application Fees process is underway. Many providers are already receiving notification that it's time to revalidate their enrollment information. DCH has also begun collecting the ACA-mandated Facility Application Fees upon initial enrollment and reenrollment.
To ensure that you receive your notices in a timely manner, providers are encouraged to immediately verify and update
their contact information in the Georgia Medicaid Management Information System (GAMMIS, www.mmis.georgia.gov). Providers will then receive a letter from Hewlett Packard (HP) notifying them when it is time to revalidate their information.
The process began several months ago with providers who enrolled in Georgia Medicaid before December 31, 2012. Providers should not begin revalidation until they receive correspondence from HP instructing them to do so. Providers will have 60 days from the date of their revalidation letter from HP to complete the process.
The revalidation process is designed to require minimal data input. Providers will be required to verify their name, date of birth, Social Security Number, NPI, Tax ID number and license numbers.
For additional questions, please refer to the Frequently Asked Questions about Revalidation and Application Fees posted on the DCH website under Provider News.
Questions may also be emailed to ApplicationFeeEnrollment2@dch.ga.gov regarding the Application Fees, or to RevalidationEnrollment2@dch.ga.gov regarding the Revalidation initiative.
News from ICD-10
CMS Sets October 1, 2015, as Compliance Date
The implementation of the mandatory transition to ICD-10 Code Sets has been set by federal law (HR 4302) as October 1, 2015. This implementation affects all HIPAA-covered entities.
The Georgia Department of Community Health (DCH) is continuing its initiative for system remediation, internal and external testing, and provider awareness and provider education.
DCH encourages all providers, trading partners, clearinghouses and other stakeholders affected by the federally mandated transition to continue moving forward with transition plans to meet the compliance deadline of October 1, 2015.
Speakers Available to Present ICD-10 Information
Are you interested in hosting a speaker to talk with your members about the ICD-10 transition?
The Georgia Department of Community Health (DCH) can provide a speaker at no charge to talk with your members -at a conference, seminar or meeting -- about the transition to ICD-10. We can provide insight and education about the process. We can also address opportunities for testing your ICD-10 readiness.
For more information, please email DCH's ICD-10 Communications Lead, Camillia Harris, at charris@dch.ga.gov. Be sure to include your telephone number.
Register Now for ICD-10 Webinars in 2014
Expand your ICD-10 education before the end of 2014 by registering for three upcoming webinars -- Tuesday, October 21; Tuesday, November 4, and Thursday, December 16. See below for dates and session titles:
Tuesday, October 21, 2014 Practice Makes Perfect
Tuesday, November 4, 2014 Back to Basics
Thursday, December 16, 2014 Mastering ICD-10 for Your Organization
Complete information and a link to registration is available. For questions concerning ICD-10 or any of our webinars, please email the ICD-10 Project mailbox at icd10project@dch.ga.gov.
The above dates and topics are subject to change.
Webinar space is limited to the first 500 attendees for the live webinar (including video and audio capability). If more than 500 attendees try to join a live webinar event, they will receive a prompt indicating the event is closed to additional attendees. However, a recording of the live event (including video and audio) will be available "on demand" within two business days of the live event. The recorded webinars can be found on the DCH website at: www.dch.georgia.gov/ITevents.

Do you have a question or a comment? Tell us what's on your mind at DCH-i@dch.ga.gov.
About DCH
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
Editor-in-Chief Pamela A. Keene
Circulation Janice Abrams Director of Communications and Legislative Affairs Lisa Marie Shekell
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.

DCH Unpaid Funds Policy Now in Effect
The Georgia Department of Community Health initiated its Provider Termination Policy for unpaid funds owed to DCH in the Medicaid and PeachCare for Kids Programs as of July 1, 2014.
Under this policy, providers who owe DCH amounts in excess of what can be collected from provider claims payments will be required to make an immediate payment of the excess funds owed. Providers who fail to make this payment within 15 days of their written notice of payment due will be suspended. Additionally, once suspended, providers who fail to make the required payment within 30 days of the suspended dates are subject to termination by the department.
Any provider who is terminated may apply for reenrollment into the Medicaid and PeachCare for Kids programs once the total amount of funds owed to DCH has been paid.
Here is the link to the full policy.

Mark Your Calendars for December's Medicaid Fair
Registration will soon be open for the upcoming Georgia Medicaid Fair on Thursday, December 4, 2014. It will take place in Macon at the Macon Marriott City Center, 240 Coliseum Drive, from 7 a.m. to 5 p.m.
Timely topics will be presented in the day's seminars, including information about ICD-10 readiness, hospital claims, billing, provider enrollment and revalidation, and more.
In addition to break-out sessions, Georgia Medicaid exhibitors and DCH staff will have displays in the Exhibitor Hall. Claims questions can be researched and addressed by both Hewlett-Packard Enterprise Services (HP) and Care Management Organization (CMO) personnel.
Check for updates and the link to the registration form at the Georgia Medicaid Management Information System (GAMMIS) website at www.mmis.georgia.gov.
Nearly $223 Million Paid in EHR Incentives
Georgia's Medicaid Electronic Health Record (EHR) Incentive Program has issued nearly $223 million in payments of federal funds to eligible providers through October 3, 2014.
The program was launched on September 5, 2011.

Board Actions
The Board of Community Health took the following actions at its Thursday, August 14, meeting:
PUBLIC NOTICE -- ICWP Final PUBLIC NOTICE -- COMP Final PUBLIC NOTICE -- NOW Final PUBLIC NOTICE -- ED WAIVER Final PUBLIC NOTICE -- NH Change in Operator, August 2014 RESOLUTION -- SHBP Member Coverage Rate Schedules Signed
________________________________________
The Board of Community Health approved the FY 2014 Amended Budget and the FY 2015 Budget Presentation at its Thursday, August 28, meeting. Here is a link to the Budget presentation:
BOARD PRESENTATION -- Budget _________________________________________
The Board of Community Health took the following actions at its Thursday, September 11, meeting:
PUBLIC NOTICE -- ICWP Rate Increase Approved for Final Adoption PUBLIC NOTICE -- COMP Rate Increase and New Services Approved for Final Adoption PUBLIC NOTICE -- NOW Rate Increase and New Services Approved for Final Adoption PUBLIC NOTICE -- ED Rate Increase and Quality Incentive Program Approved for Final Adoption
_________________________________________
The Board of Community Health took the following action at its special called meeting on Tuesday, September 30:
PUBLIC NOTICE -- IP Hospital UPL 9.24.14 with fiscal impact
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