Gov. Kemp, DCH Announce Approval of 1135 Medicaid and PeachCare for Kids® Waiver
Announcements, Press Release, State & National April 2, 2020
Atlanta, GA – Governor Brian P. Kemp and the Georgia Department of Community Health (DCH) today announced that the Centers for Medicare and Medicaid Services (CMS) approved Georgia’s section 1135 waiver request on the temporary checklist, granting the state a number of flexibilities for Medicaid and PeachCare for Kids® providers and members to combat the COVID-19 public health emergency. To read the approval letter, click HERE.
“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,” said Governor Kemp. “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,” said DCH Commissioner Frank Berry. “We also greatly appreciate the work of our providers in helping us to explore creative avenues to ensure the best care to our citizens.”
Included in the approval of template checklist flexibilities under the 1135 waiver are:
Temporary suspension of Medicaid fee-for-service prior authorization requirements for particular benefits
Extension of pre-existing prior authorizations
Suspension of Pre-Admission Screening and Annual Resident Review (PASRR) Level I and Level II assessments 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
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.
Additional provisions requested in Georgia’s 1135 waiver are still pending CMS review and approval. Updates will be provided on those pending items as more information becomes available.
Kemp issues call to action to all Georgians, schools, and local governments
Feature News, State & National March 12, 2020ATLANTA, Ga – Governor Brian Kemp announced schools, childcare providers, local governments in Georgia now have the option to close, at least, for the next two weeks, starting this afternoon, during his latest COVID-19 press conference.
Mere hours after he confirmed, the first death in Georgia from COVID-19, Kemp gathered Speaker of the House David Ralston, Lt. Gov. Geoff Duncan, Georgia Department of Public Health Commissioner Dr. Kathleen Toomey, and Atlanta Mayor Keisha Lance Bottoms to reveal extra measures for Georgians regarding the virus.
Kemp’s administration changed messaging to protect the elderly and chronically ill Georgians from COVID-19.
“Our message is changing. Elderly Georgians and those with chronic underlying health conditions face a much higher risk of adverse consequences from exposure to coronavirus,” stated Kemp. “We need to help them to dramatically limit their exposure to the public for the foreseeable future.”
These individuals need to avoid mass gatherings, even faith-based events to protect themselves against the virus. Two COVID-19 patients in Bartow did share contact by attending the same church.
Kemp urged citizens to talk with their families and make plans to protect those at risk by picking up their groceries, prescriptions, and helping them in any way possible.
The call to close schools or government offices isn’t a mandate, but, rather, the option now available, when “prudent”, to help keep Georgians safe. However, if counties, schools, or childcare providers don’t see a need to shut down, then they do not have to close.
Additionally, all elder care facilities are now closed to visitation until April 10, 2020, except for family members and end of life services.
Non-essential travel and telework are now in effect for state government, but the government offices and Capitol will remain open. Kemp’s office will send out guidance to all agency leaders for implantation.
The governor also implemented four new committees as part of the coronavirus task force: Emergency Preparedness Committee, led by Insurance Safety and Fire Commissioner John King, Economic Impact Committee, led by State Economist Jeff Dorfman, Primary Care Physicians Committee, led by Dr. Ben Watson, and Homeless Community Committee, led by Atlanta Mayor Keisha Lance Bottoms.
Update on Testing Capabilities
Toomey stated that currently the state can perform 50 tests a day and the department of health has more equipment on the way as well as additional training. She hopes the number will be up to 100 tests a day by the end of next week. Right now, Georgia has enough materials to conduct 500 tests in part thanks to the support from the CDC.
“We are testing high-risk patients,” said Toomey.
GA DPH commissioner Dr. Toomey is hopeful that Georgia’s ability to test for COVID-19 will continue to grow.
20 percent of patients have more severe diseases and five percent need help breathing, so those who fall into the high-risk category are being tested first.
Lab Corp can now process tests, which should speed up the process. The CDC has eased restrictions on COVID-19 testing, so the M-95 masks are no longer necessary as part of protective equipment.
She stressed the importance of those who might have COVID-19 to call ahead because no one wants to infect those in the emergency room or waiting room.