Up to 5800 Georgia Medicaid Providers Risk Year-End Terminations

To comply with the Affordable Care Act’s requirement to revalidate provider enrollment “at least every five (5) years,” beginning in April 2014 and continuing monthly thereafter, the Georgia Department of Community Health (DCH) and Hewlett-Packard Enterprise (HPE) sent letters on a rolling basis to providers requiring revalidation within 60 days. DCH has reported that many of their revalidation letters were returned due to invalid provider addresses on file, and that providers should ensure that their address is correct in the Georgia Medicaid Management Information System (GAMMIS) web portal. On November 1, 2016, DCH suspended providers who were sent notice letters on August 3, 2016, and who did not comply with the revalidation requirements. On December 30, 2016, DCH will terminate all suspended providers who have yet to submit a revalidation enrollment application.

A report of the approximately 5800 providers who are currently suspended and have not submitted a revalidation application can be found on the GAMMIS website at www.mmis.georgia.gov. Click on the Provider Information tab and select Provider Notices. DCH has announced that providers on this report who have not submitted a revalidation application by December 30, 2016, will be terminated from the Medicaid program.

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