A care management organization shall configure or program its automated claims processing system to consider at least the conditions and criteria described in this subsection for claims presented for emergency health care services. The Department of Community Health may develop and publish in print or electronically a list of additional standards to be used by care management organizations to maximize the identification and accurate payment of claims for emergency health care services.
History. Code 1981, § 33-21A-4 , enacted by Ga. L. 2008, p. 704, § 1/HB 1234; Ga. L. 2010, p. 838, § 10/SB 388.
Code Commission notes.
Pursuant to Code Section 28-9-5, in 2008, a misspelling of “symptoms” was corrected in paragraph (b)(3).
Structure Georgia Code
Chapter 21A - Medicaid Care Management Organizations
§ 33-21A-3. Certificate of Authority Required; Setting of Rates; Authority of Commissioners
§ 33-21A-4. Reimbursement for Emergency Health Care Services
§ 33-21A-5. Requirements Relating to Critical Access Hospitals
§ 33-21A-6. Coverage for Newborn Infants Until Discharged From Inpatient Care
§ 33-21A-7. Bundling of Provider Complaints and Appeals
§ 33-21A-8. Participation by Dentists
§ 33-21A-9. Submission and Payment of Claims
§ 33-21A-10. New and Renewal Agreements With Care Management Organizations and Health Care Providers