COVID-19: Kemp announces temporary waivers for 1135 Medicaid and PeachCare for Kids®

Georgia Gov. Brian Kemp announced the approval of a waiver request granting the state flexibility for Medicaid and PeachCare for Kids® waivers to help combat the COVID-19 public health emergency. This was granted by the Centers for Medicare and Medicaid Services. These waivers include:

  • Temporary suspension of Medicaid fee for service prior authorization in some instances
  • Extension of pre-existing prior authorizations
  • Suspension of Pre-Admission Screening and Annual Resident Review for 30 days
  • Extension of state fair hearing requests and appeal timelines
  • Authorization for Georgia Medicaid to provisionally, temporarily enroll out-of-state providers who are enrolled in another state’s Medicaid program or Medicare
  • Waiver of application fees, criminal background checks, site visits and in-state licensure requirements for providers not already enrolled in another state’s Medicaid program or Medicare
  • Waiver of application fees, criminal background checks, site visits and in-state licensure requirements for providers not already enrolled in another state’s Medicaid program or Medicare
  • Authorization for Georgia Medicaid to temporarily cease re-validation of providers
  • Authorization for the provision of services in alternative settings
  • The approval of these temporary flexibilities is effective retroactively to March 1, 2020 and ends upon termination of the public health emergency, including any extensions, according to CMS.

Some other waiver requests are still pending approval.

“We want to thank CMS for granting this waiver to provide the resources and flexibility for our health care systems and heroic health care workers to fight COVID-19,” Kemp said in a press release.. “The safety of Georgians is my top priority, and this measure helps ensure access to health care for some of our state’s most vulnerable citizens during this unprecedented time.”

“The Department of Community Health is grateful to our federal partners for moving so quickly to provide regulatory relief and support to our health care systems,” DCH Commissioner Frank Berry added in the release. “We also greatly appreciate the work of our providers in helping us to explore creative avenues to ensure the best care to our citizens.”

 

 

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