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73 chapters · 1,492 sections in this title.
O.C.G.A. § 33-21A-4 Reimbursement for emergency health care services
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(a) In particular, but without limitation, a care management organization shall not: (1) Deny or inappropriately reduce payment to a provider of emergency health care services for any evaluation, diagnostic testing, or treatment provided to a recipient of medical assistance for a…
O.C.G.A. § 33-21A-5 Requirements relating to critical access hospitals
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(a) A critical access hospital must provide notice to a care management organization and the Department of Community Health of any alleged breaches in its contract by such care management organization. (b) If a critical access hospital satisfies the requirement of subsection (a) o…
O.C.G.A. § 33-21A-6 Coverage for newborn infants until discharged from inpatient care
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(a) Each care management organization shall pay for health care services provided to a newborn infant who is born to a mother who is a member currently enrolled with that care management organization until such time as the newborn is finally discharged from all inpatient care to a…
O.C.G.A. § 33-21A-7 Bundling of provider complaints and appeals
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(a) In reviewing provider complaints or appeals related to denial of claims, a care management organization shall allow providers to consolidate complaints or appeals of multiple claims that involve the same or similar payment or coverage issues, regardless of the number of indiv…