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Functional Capacity Evaluations (FCE01): Not to exceed $850.00. The Division of Medical Assistance uses Diagnosis Related Groups (DRGs) to reimburse hospitals for services to Medicaid recipients. An official website of the State of Georgia. Georgia Medicaid fee schedules are updated quarterly. 02/01/2023. Valerie Smith State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. The following example would NOT be considered Users of the fee schedule: If you have any questions about user definitions, please contact FAIR Health client services. Additionally, laws and regulations and insurance and payer policies are subject to change. The PDF and WORD documents are now available. Services and supplies furnished incident to physician's services; NP, PA, certified nurse-midwife (CNM), clinical psychologist (CP), and clinical social worker (CSW) services; and. The following materials will help familiarize you with the CareSource Georgia Medicaid plan. The Amerigroup provider manuals provide key administrative information, details regarding programs that include the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more. If you have a question about a specific matter, you should contact a professional advisor directly. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. The participation period is open for the January 1, 2022 December 31, 2022 Survey Period for all Public Ground Ambulance Providers to complete the needed information to calculate a UPL payment. This baseline rate, effective January 2001, is utilized as the basis for rates in succeeding years. Subject Payment to Out of Network Providers . An online provider training washeld onThursday, March 18, 2021 at 10:00 AM ESTfor instruction on completing and submitting the ACR survey and supporting documentation. DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid