aJY $,0V #hE2!FF!&`B+4fC&%@ c cTh Please note that the reimbursement rate sheets (R-32) are in alphabetical order. Family Planning Services have two main components, frequency limitations and modifier requirements. Open the pdf and scroll down to the Provider R-32 you need and print. Orthotic and Prosthetic Fee Schedule - PDF. All policies found in the Peach State Health Plan Clinical Policy Manual apply to Peach State Health Plan members. Speech Therapy and Language Disorder Rehabilitation GEORGIA MEDICAID MM-0714 Effective Date: 10/01/2020 Outpatient Speech Therapy and Language Disorder Rehabilitation B. Fee-For-Service | Georgia Medicaid % endstream endobj 456 0 obj <>/Metadata 27 0 R/Pages 453 0 R/StructTreeRoot 49 0 R/Type/Catalog/ViewerPreferences 472 0 R>> endobj 457 0 obj <>/MediaBox[0 0 612 792]/Parent 453 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 458 0 obj <>stream . PDF 74.88 KB - January 05, 2022 Division/Office. If you have a question about a specific matter, you should contact a professional advisor directly. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Reimbursement policies are designed to assist you when submitting claims to CareSource. Therefore, enteral nutrition supplies are recommended for denial when billed without modifier NU. 04/01/2023. If you have any questions regarding these policies, please contact Member Services and ask to be directed to the Medical Management department. PDF. An official website of the State of Georgia. Other non-clinical policies (e.g., payment policies) or contract terms may further determine whether a technology, procedure or treatment that is not addressed in the Clinical Policy Manuals or InterQualcriteria is payable by Peach State Health Plan. Diaphragm fitting, condoms and contraceptive injection of medroxyprogesterone acetate must be submitted with modifier FP (Service provided as part of Medicaid family planning program). 558.5. According to Georgia Medicaid guidelines, childrens intervention services must be reported with modifier HA (Child/adolescent program) and are allowed only for Medicaid eligible members less than 21 years of age.
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