Provider Educational and Training Materials

GMCF offers educational and training materials to assist the Medicaid Provider community with the various aspects of submitting a request for Prior Authorization.  As a provider oriented organization, GMCF has the tools to assist you in getting the job done.

Use the links below to access the materials currently available.

• Electronic Attachments of Supporting Documentation
• Children’s Intervention Services
• Therapy Codes Prior Authorization
• Prior Authorization of Pediatric Hospitalizations
• Guide for submiting a PA Change Request via the web (pdf)
• PASRR/Level I Reviews (pdf)
• Medication Prior Authorization
• Radiology Prior Authorization
• Independent Care Waiver Program

The Georgia Pediatric Program (GAPP) provides services to medically fragile children with multiple system diagnoses. Services are provided in their homes and communities and in a ‘medical’ daycare setting as an alternative to placing children in a nursing care facility. Members served by the GAPP must meet the same level of care as required for admission to a hospital or nursing facility, and must be Medicaid eligible. A DMA-6A is required for pre-admission approval for all GAPP services. Once the DMA-6A is approved, the DMA-80 is submitted to request specific GAPP services. Providers may submit both the DMA-6A and DMA-80 via the Georgia Health Partnership (GHP) Web portal. The GAPP Web Entry guide provides step by step instructions for entering a DMA-6A and DMA-80 via the Web portal.

Click the link below to access the Web Entry guide.

Georgia Pediatric Program (GAPP) Prior Authorization (pdf)