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Medicaid/CHIP Data Requirements in Georgia

 

Medicaid/CHIP Data Requirements in Georgia

Subtopic Statute/Regulation Description
Mandatory reporting by Medicaid providers (cost/utilization information) Health Care Provider or Services Regulated by Federal Law, Ga. Code Ann. § 43-1B-8 Health Care Provider or Services Regulated by Federal Law
Medicaid Breach of Contract Damages, Ga. Code Ann. § 33-21A-5 Medicaid Breach of Contract Damages
Medicaid CMO Payment for Services, Ga. Code Ann. § 33-21A-4 Medicaid CMO Payment for Services
Medicaid Fiscal Year Report, Ga. Code Ann. § 33-21A-11 Medicaid Fiscal Year Report
Medicaid Review of Complaints and Denied Claims, Ga. Code Ann. § 33-21A-7 Medicaid Review of Complaints and Denied Claims
Brief description of each state’s Medicaid program (Name and unique characteristics) Medicaid Certificate of Authority, Ga. Code Ann. § 33-21A-3 Medicaid Certificate of Authority
Medicaid Reimbursement of Provider, Ga. Code Ann. § 33-21A-9 Medicaid Reimbursement of Provider
Medicaid Services for Newborn Infants, Ga. Code Ann. § 33-21A-6 Medicaid Services for Newborn Infants
Use of Provider Payments, Ga. Comp. R. & Regs. 111-3-10-.03 Use of Provider Payments
Confidentiality of Medicaid data (including penalties for violating confidentiality) Medicaid Providers Information Disclosed, Ga. Comp. R. & Regs. 290-1-4-.02 Medicaid Providers Information Disclosed
Provisions for Medicaid Disclosures, Ga. Comp. R. & Regs. 290-1-4-.01 Provisions for Medicaid Disclosures