The Georgia Department Of Community Health Frequently Asked Questions Georgia Department Of Community Health MEDICAID 1. How do I apply for Medicaid? You can go to your county Department of Family and Children Services Office and they will assist you. 2. How can I tell if I qualify for Medicaid? Go to the Georgia Health Partnership (GHP) web site, and that will give you eligibility information. 3. What if I have questions about my Medicaid eligibility? You can go to the GHP website or call the number on the back of your Medicaid card--770-570-3373 or 770-570-3300. 4. I am pregnant and need Medicaid. What is the best way for me to apply? Go directly to your county Health Department--you can apply and if you are eligible, you receive coverage the same day. 5. What do I do about my Medicaid coverage if I've moved? Call the Metro Change Center at 404-635-2173 or 1-888-295-1769, and let them know. 6. How can I choose another doctor? Call The Powerline at, 404-881-8038 or 1-800-822-2539, give them your Medicaid number and request at least three choices for the type of new doctor you are looking for. 7. I am not Medicaid eligible, but I do receive Social Security benefits that do not pay for my prescriptions. How can I get low or no cost medications? Ask your doctor to sign you up for the Prescription Drug Patient Assistance Program, 1-800-762-4636 or you can call Georgia Partnership for Caring Foundation (GPCF), 1-800-982-4723, to see if you are eligible. 8. I am Medicaid-eligible, but not for prescription assistance. Is there any help for me? Who do I call? Call the Georgia Department of Community Health at 404-656-4496. 9. If I have Medicaid and I have an accident and Medicaid paid my medical bills, do I have to reimburse them? Yes, once you are awarded settlement, your lawyer would need to call Public Consulting Group, 770-980-9777, to arrange repayment to Medicaid. 10. I was once a Medicaid member and am now receiving medical bills from years ago. What do I do? If you had notified the provider that you were Medicaid-eligible at the time of service, you must show proof to them. If you had not made notification in a reasonable amount of time, you might be required to pay the bill. For further information, call 404-656-4496. 11. How can I find out if my prescription requires a prior authorization or is not on the list of approved medications for Medicaid? Call 404-656-4496 for assistance. 12. One of the medications I take now requires a prior authorization. What do I have to do about that? Your doctor must call and request prior authorization for your prescription. Ask your doctor to sign you up for the Prescription Drug Patient Assistance Program, 1-800-762-4636 or you can call Georgia Partnership for Caring Foundation (GPCF), 1-800-982-4723, to see if you are eligible. 13. One of the medications I take now requires a prior authorization. What do I have to do about that? Your doctor must call and request prior authorization for your prescription. 2 Peachtree Street, Atlanta, Ga 30303 www.dch.georgia.gov January 2009 Frequently Asked Questions HEALTH CARE PROVIDER (HPC) 14. I am a provider and I have been trying to reach ACS and cannot get assistance, what do I do? For the quickest response please send an inquiry to the GHP Customer Interaction Center (CIC). Then, if you do not get an answer in a reasonable time, and especially if you have a policy question, call 404-656-4496. 15. How can I become a provider? If you would like to become a provider, you can find more information at the Georgia Health Partnership (GHP) web site. 16. I am a nurse aid and I need to renew my license. How can I do that? You can go online to the GHP web site, www.ghp.georgia.gov, click on Nurse Aid Registry, and follow the directions given. PEACHCARE FOR KIDS 17. How do I apply for PeachCare for KidsTM? Go to the GHP website, and click on PeachCare for KidsTM information. You can also call 1-877-427-3224. 18. One of the medications I take now requires a prior authorization. What do I have to do about that? Your doctor must call and request prior authorization for your prescription. STATE HEALTH BENEFIT PLAN (SHBP) 19. I have a question about my State Health Benefits. Where can I call? Call State Health Benefits Eligibility at: 800-610-1863, or if in Atlanta, 404-656-6322. 20. How can I find out if my prescription requires a prior authorization or is not on the list of approved medications for Medicaid? Call 404-656-4496 for assistance.