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12 chapters · 362 sections in this title.
O.C.G.A. § 49-4-169 Legislative findings and intent
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The General Assembly finds that changes in the approval process of certain health care programs have made it difficult for children with disabilities who are eligible for medical assistance pursuant to Article 7 of this chapter to receive the services to which they are entitled wi…
O.C.G.A. § 49-4-169.1 Definitions
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As used in this article, the term: (1) “Correct or ameliorate” means to improve or maintain a child’s health in the best condition possible, compensate for a health problem, prevent it from worsening, prevent the development of additional health problems, or improve or maintain a…
O.C.G.A. § 49-4-169.2 Services and treatment for categorically needy and medically fragile children
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All persons who are 21 years of age or younger who are eligible for services under the EPSDT Program shall receive therapy services in accordance with the provisions of this article, whether they are categorically needy children enrolled in the low income Medicaid program or medi…
O.C.G.A. § 49-4-169.3 Requirements relating to administrative prior approval for services and appeals; statutory construction
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(a) The department shall develop and implement for itself, the care management organizations with which it enters into contracts, and its utilization review vendors consistent requirements, paperwork, and procedures for utilization review and prior approval of physical, occupatio…