1 Welcome to the Spring Medicaid Virtual Fair Housekeeping Items: • All lines will be muted upon entry • Unless you are a panelist or a speaker • This session is being recorded • Questions in chat will be addressed at the end of the presentation if they’re not addressed during

2 Mission The Georgia Department of Community Health We will provide Georgians with access to affordable, quality health care through effective planning, purchasing and oversight. We are dedicated to A Healthy Georgia

3 Purpose: Shaping the future of A Healthy Georgia by improving access and ensuring quality to strengthen the communities we serve.

4 What is NEMT? The Non-Emergency Medical Transportation (NEMT) program is a ride share program that provides medically necessary transportation for eligible Medicaid members who have no other means of transportation available. Transportation is provided to: • medical treatments/appointments; • medical evaluations; • pharmacy to pickup prescription drugs; and to • pickup your medical equipment.

5 COVID-19 Where We Were The onset of the pandemic and the Georgia mandate to shelter in place triggered the NEMT Brokers and provider network to pivot to meet the needs of our Medicaid members. The pandemic caused: • Fear of the unknown for Transportation Providers and Members • Loss of transportation providers and available drivers • A decrease of 60 – 70% of NEMT trips in March 2020 • PPE not readily available to supply to the provider network or members • An increase in Telehealth for medical appointments • Loss of transportation providers and available drivers

6 COVID-19 How We Managed with Partnerships The NEMT team partnered with various state agencies such as GEMA and DPH as a vital part of our network reengaging to meet our Member needs.  GEMA and DPH’s partnership assisted the network in getting PPE and outfitting transportation provider vehicles for safety measures.  Daily communications from DPH on COVID-19.  Specific information for Long Term Care Facilities.  Created a work group to determine the best way forward to operationalize the CMS directive of COVID Testing for drivers assigned for nursing home transports. The group was comprised of members from: o DCH’s NEMT team, o DCH Commissioner’s office o GA DPH o GA Healthcare Association o HFRD Team o ModivCare (formerly LogistiCare) o Southeastrans  Nursing Homes testing NEMT drivers on site before transporting residents.  DPH worked with the NEMT team to get NEMT drivers vaccinated during the first round of vaccinations.

7 COVID-19 Where We Are Going The NEMT team is continuing our partnerships with other state agencies to encourage Medicaid Members to schedule their vaccinations. We will develop numerous forms of communication to our Members and provider community through:  Mass communication to Members via: o DCH announcements o NEMT Broker communications o Flyers o Local Health Agencies Notifications o Home Health Agencies o Myvaccinegeorgia.com  Working with GEMA and DPH to form express lanes at the mass vaccination sites for Medicaid Members using NEMT services.  How our provider community can help DCH encourage members to get vaccinated.

8 Stefanie Ashlaw Director, PeachCare for Kids® Date:3/25/2021 COVID-19 Updates

9 Title or Chapter Slide (use as needed; feel free to delete) DCH COVID-19 Updates In response to the COVID-19 Federal Emergency, DCH submitted a State Plan Amendment to CMS that would allow our PeachCare for Kids® program the flexibility to provide temporary adjustments to the state’s enrollment and redetermination policies as well as cost sharing requirements. The amendment was approved and is effective through the duration of the Federal emergency declaration

10 COVID-19 Updates DCH has implemented the following for the duration of the Federal Emergency: • Waive copayments for any COVID-19 testing-related services, effective March 18, 2020 for Medicaid and PCK enrollees • Waive copayments for all other services, effective May 1, 2020 for Medicaid and PCK enrollees • Waive requirements related to timely processing of renewals for Medicaid and PCK enrollees

11 COVID-19 Updates • Delay termination of Medicaid benefits except in the following change categories: – Permanent residency in Georgia – Death of a member – Voluntary termination of coverage or erroneous eligibility determinations • PeachCare for Kids® enrollees must continue to be terminated on the last day of the month of their 19th birthday. • Waive all PeachCare for Kids® Premiums

12 COVID-19 Updates Impacts of COVID-19 on Enrollment Medicaid Enrollment has increased as expected: • Enrollment as of June 2020: 1,951,698 • Current enrollment: 2,151,405 PeachCare for Kids® Enrollment has also increased: • Enrollment as of June 2020: 148,650 • Current enrollment of 170,730

13 COVID-19 Updates

14 SWAQ`1 `` Presented to: Georgia 2021 Spring Medicaid Fair Recipients Presented by: Nichole Thompson-Director of Provider Enrollment Date: March 25, 2021 Provider Enrollment Covid-19 Updates

15 Provider Enrollment Waived Requirements • Application Fees • Background Checks • Site visits • Revalidation Actions • Out of State Licensed Providers

16 Highlighted Efforts of Provider Enrollment Additional Staffing GA World Congress Center • Grady Healthcare • Phoebe Putney Memorial Hospital • Northeast GA • CHOA • Northside Approved Medicaid COS to Administer Covid -19 Vaccine • Hospitals- 070 • Independent Laboratories-230 • Physicians-430 • Physician Assistants-431 • Nurse Midwives-480 • Nurse Practitioners-740 • Federally Qualified Health Centers (FQHC)-540 • Hospital-Based Rural Health Clinics- 541 • Free-Standing Rural Health Clinics - 542 • DSPS (Health Departments) - 790

17 Life After the Public Health Emergency Activate GAMMIS Enrollment Edits Revalidate, Revalidate, Revalidate CMS 21st Cares Act Initiative Streamlined Background checks through GCHEXS

18 Questions, Concerns, & Feedback Contact Information Nichole Thompson Director of Provider Enrollment (404) 651- 5191 2 Peachtree Street, NW 39th Floor Atlanta, GA 30303 nthompson1@dch.ga.gov Enrollment@dch.ga.gov

19 Valerie Sapp Medical Policy Plan Date:3/25/2021 COVID-19 Updates

20 Covid-19 Updates • Policy and systems changes implemented during the Public Health Emergency • Policy Changes During COVID-19 • Timeline for System Implementation

21 COVID-19 Vaccines Vaccine Name Code Description DCH FFS Reimbursement Pfizer-BioNTech COVID-19 Vaccine 0001A (1st dose) 0002A (2nd dose) 91300 Severe acute respiratory syndrome coronavirus 2 1st dose: $10 2nd dose: $10 Moderna COVID-19 Vaccine 0011A (1st dose) 0012A (2nd dose) 91301 Severe acute respiratory syndrome coronavirus 2 1st dose: $10 2nd dose: $10 Janssen COVID-19 Vaccine 0031A (single dose) 91303 Severe acute respiratory syndrome coronavirus 2 single dose $10

22 Covid-19 Updates Take-Aways Banner Messages and Workshops COVID-19 Update Websites

23 Questions, Concerns, & Feedback