comp waiver renewal: community living supports prior ......community living supports: services...
TRANSCRIPT
D I V I S I O N O F D E V E L O P M E N T A L D I S A B I L I T I E SG E O R G I A D E P A R T M E N T O F B E H A V I O R A L H E A L T H A N D
D E V E L O P M E N T A L D I S A B I L I T I E S
R O N A L D S I N G L E T O ND D B U D G E T M A N A G E R
COMP Waiver Renewal:Community Living Supports
Prior Authorization Overview
B A S I C C O M M U N I T Y L I V I N G S U P P O R T SE X T E N D E D C O M M U N I T Y L I V I N G S U P P O R T S
S H A R E D C O M M U N I T Y L I V I N G S U P P O R T S
Community Living Supports Services
DBHDD
Community Living Supports: Services
Service Unit Rate Notes
BasicT2025-U5
15-Minute $6.35 2.75 hours or fewer/visit
ExtendedT2025-U4
15-Minute $5.74 3 hours or more/visit
2 Person - BasicT2025-U5-UN
15-Minute $3.49 Allows waiver participants to share one employee/staff
2 Person - ExtendedT2025-U4-UN
15-Minute $3.16
3 Person - BasicT2025-U5-UP
15-Minute $2.54
3 Person - ExtendedT2025-U4-UP
15-Minute $2.30
DBHDD
Community Living Supports: Additional Information
Community Living Supports annual maximumo $51,300
Elimination of Community Living Supports Dailyo T2025-U6
No daily maximum; no monthly maximum
New procedure code for personal assistance retainerT2025-U5-CG ($5.74 Rate)
DBHDD
Prior Authorization Development: Community Living Supports
Prior authorizations for Community Living Supports submitted to Medicaid with procedure code: T2025-U5
1 procedure code expands to 7 procedure codes
DBHDD
PRIOR AUTHORIZATION MEDICAID/GAMMIS
T2025-U4
T2025-U4-UN
T2025-U4-UP
T2025-U5 T2025-U5
T2025-U5-CG
T2025-U5-UN
T2025-U5-UP
CLS Prior Authorization: Medicaid/GAMMIS State View
Procedure code, T2025-U5 expands to a total of 7 procedure codes within Medicaid/GAMMIS.
DBHDD
CLS Prior Authorization: Medicaid/GAMMIS Provider View
DBHDD
Medicaid/GAMMIS Web Portal: Extended Services Billing Example
DBHDD
Medicaid/GAMMIS Web Portal: Basic Services Billing Example
DBHDD
Medicaid/GAMMIS Web Portal: Extended – 2 Person Services Billing Example
DBHDD
Medicaid/GAMMIS Web Portal: Personal Assistance Retainer Services Billing Example
DBHDD
