Georgia Code, Title 49, Chapter 4, Article 7 - Medical Assistance Generally

• § 49-4-140 - Short Title
  The short title for this article shall be the "Georgia Medical Assistance Act of 1977."
• § 49-4-141 - Definitions
  As used in this article, the term: (1) "Applicant for medical assistance" means a person who has made application for certification as being eligible,...
• § 49-4-142 - Department of Community Health Established; Adoption, Administration, and Modification of State Plan; Drug Application Fees
  (a) The Department of Community Health established under Chapter 2 of Title 31 is authorized to adopt and administer a state plan for medical...
• § 49-4-142.1 - Legislative Notification of Request for Waiver
  On and after May 3, 2006, neither the department, the board, nor any other representative of the state shall submit any request to the...
• § 49-4-142.2 - Expansion of Medicaid Eligibility Through an Increase in the Income Threshold
  On and after July 1, 2014, neither the department, the board, nor any other representative of the state shall expand Medicaid eligibility under this...
• § 49-4-143 - Power of Board of Community Health; Board of Medical Assistance Abolished
  The Board of Community Health established under Chapter 2 of Title 31 is empowered to establish the general policy to be followed by the...
• § 49-4-144 - Chief Administrative Officer; Powers and Duties
  The commissioner of community health established under Chapter 2 of Title 31 shall be the chief administrative officer of the department and, subject to...
• § 49-4-145 - Time Limitations on Claims for Assistance; Form of Claims
  Claims for medical assistance must be submitted not more than six months after the month in which the service is rendered and shall be...
• § 49-4-146 - Time for Action on Claim
  The Department of Community Health, within three months of receiving a claim submitted on or after July 1, 1978, shall pay or deny the
• § 49-4-146.1 - Unlawful Acts; Violations and Penalties; Recovery of Excess Amounts; Termination and Reinstatement of Providers; Duty of Department to Identify and Investigate Violations; Notifications; Authorization to Obtain Income Eligibility Verification
  (a) As used in this Code section, the term: (1) "Agent" means any person who has been delegated the authority to obligate or act...
• § 49-4-146.2 - Requirements for Voluntary Termination of Provider Agreements by Nursing Facilities; Adjustment of Medical Assistance Rate; Decertification
  (a) As used in this Code section, the term: (1) "Assist" means that the provider will, at a minimum, do the following: (A) Provide...
• § 49-4-146.3 - Civil Forfeiture of Property and Proceeds Obtained Through Medicaid Fraud
  (a) As used in this Code section, the term: (1) "Civil forfeiture proceeding" shall have the same meaning as set forth in Code Section...
• § 49-4-147 - Enforcement of Liens, Claims, or Offsets Against Assistance
  Medical assistance payable by virtue of this article shall be subject to any claim, lien, or offset of this state against the payee and...
• § 49-4-147.1 - Claims by Department Against Estate of Medicaid Recipients
  (a) In accordance with applicable federal law and regulations, including those under Title XIX of the federal Social Security Act, the department may make...
• § 49-4-147.2 - Noneligibility of Department of Community Health to Obtain Nor Be Liable for Interest on Orders, Judgments, and Liquidated or Unliquidated Amounts; Exemptions
  (a) Notwithstanding the provisions of Code Section 49-4-141, as used in this Code section the term "department" means the Department of Community Health or...
• § 49-4-148 - Recovery of Assistance From Third Party Liable for Sickness, Injury, Disease, or Disability; Compromise or Waiver of Claim; Compliance; Effective Date
  (a) Should medical assistance be paid in behalf of a recipient of medical assistance on account of any sickness, injury, disease, or disability for...
• § 49-4-149 - Lien of Department of Community Health Against Third Parties; Subrogation to Recipients' Insurance Claims; Assignment of Recipients' Claims
  (a) The Department of Community Health shall have a lien for the charges for medical care and treatment provided a medical assistance recipient upon...
• § 49-4-149.1 - Submission by Department of Plan for Family Supplementation of Medicaid Payments Upon Federal Removal of Restrictions
  If the federal government removes restrictions upon family supplementation of Medicaid payments or approves a waiver allowing this supplementation, the Department of Community Health...
• § 49-4-150 - Regulations As to Maintenance and Use of Records; Certificate As to Use of Information
  The Board of Community Health is directed to prescribe regulations governing the custody, use, and preservation of the records, papers, files, and communications of...
• § 49-4-151 - Obtaining Information for Investigations and Audits
  (a) The commissioner, for the purposes of investigating the nature, amount, and extent of services provided to a recipient of medical assistance or auditing...
• § 49-4-152 - Research and Demonstration Projects; Pilot Projects to Provide Health Care Coverage and Essential Health Care Services; Pharmacy Assistance Programs
  Subject to the availability of funds, the Department of Community Health is authorized to enter into agreements with and submit applications to departments and...
• § 49-4-152.1 - Medicaid Prescription Drug Bidding and Rebate Program
  (a) The General Assembly finds that the department frequently must pay more for prescription drugs furnished to recipients of medical assistance under this article...
• § 49-4-152.2 - Rebates for Sole-Source and Multiple-Source Drugs Included in Controlled Medical Assistance Drug List
  (a) The department is authorized to negotiate and enter into agreements directly with manufacturers and distributors whose prescription drug products are sold in the...
• § 49-4-152.3 - Reuse of Unit Dosage Drugs
  (a) As used in this Code section, the term: (1) "Long-term care facility" or "facility" means an intermediate care home, skilled nursing home, or...
• § 49-4-152.4 - Department Contracts to Require Refund of Prescription Drug Rebates
  The department shall provide that any department contract with a provider of medical assistance which is renewed or executed on or after July 1,...
• § 49-4-152.5 - Restocking Fees
  In the provision of medical assistance pursuant to this article, the department shall allow for the payment and coverage of appropriate restocking fees incurred...
• § 49-4-153 - Administrative Hearings and Appeals; Judicial Review; Contested Cases Involving Imposition of Remedial or Punitive Measure Against Nursing Facility
  (a) The Board of Community Health is authorized to establish regulations regarding the manner in which the appeals set forth in subsection (b) of...
• § 49-4-154 - Powers and Duties Retained by Department of Human Resources (Department of Community Health)
  (a) The status, position, and rights of persons transferred from the Department of Human Resources (now known as the Department of Community Health for...
• § 49-4-155 - Department of Community Health to Succeed to Existing Rules, Regulations, Policies, Procedures, and Administrative Orders
  The Department of Community Health shall succeed to all the rules, regulations, policies, procedures, and administrative orders of the Department of Human Resources (now...
• § 49-4-156 - Tax Exemption for Health Maintenance Organizations With Respect to Contracts Pursuant to This Article
  Reserved. Repealed by Ga. L. 2010, p. 125, § 1, effective July 1, 2010.
• § 49-4-156.1 - Reimbursement for Services Rendered Under Article 5 of Chapter 6 of This Title
  It is the intention of the General Assembly that the Department of Community Health be authorized to take those actions necessary to provide reimbursement...
• § 49-4-157 - Construction of This Article With Federal Act
  It is the intention of the General Assembly that this article be construed consistently with Title XIX of the federal Social Security Act of...

Last modified: October 14, 2016