Compilation of Rules and Regulations of the State of Georgia
Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH
Chapter 111-3 - MEDICAL ASSISTANCE
Subject 111-3-11 - HOSPITAL DIRECTED PAYMENT PROGRAM
Rule 111-3-11-.03 - Use of Provider Payments

Universal Citation: GA Rules and Regs r 111-3-11-.03

Current through Rules and Regulations filed through September 23, 2024

(1) The Department shall collect the Provider Payments imposed pursuant to this Chapter. All revenues raised pursuant to this Chapter shall be deposited into the Segregated Account. Such funds shall be dedicated and used for the sole purpose of obtaining federal financial participation for Directed Payments to Non-Governmental Hospitals from Care Management Organizations on behalf of Medicaid recipients pursuant to Article 7 of Chapter 4 of Title 49. Directed Payments shall be exclusively used to provide Medicaid payments to Non-Governmental Hospitals based on each Non-Governmental Hospital's individual claims to Care Management Organizations.

(2) Revenues appropriated to the Department by the General Assembly pursuant to Article 6C of Chapter 8 of Title 31, shall be used to match federal funds that are available for the purpose for which such funds have been appropriated.

(3) The Department shall require the Care Management Organizations to remit any payments required under this Rule within ten (10) days of the Department's receipt of the Provider Payments pursuant to this Chapter.

O.C.G.A. § 31-8-179.3.

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