Georgia Code
Article 7 - Medical Assistance Generally
§ 49-4-142.3. Waiver Request to Federal Government on Income Threshold for Medicare and Medicaid Services

The department shall be authorized to submit a waiver request, on or before June 30, 2020, to the United States Department of Health and Human Services Centers for Medicare and Medicaid Services pursuant to Section 1115 of the federal Social Security Act, which may include an increase in the income threshold up to a maximum of 100 percent of the federal poverty level. Further, upon approval of the waiver, the department shall be authorized to take all necessary steps to implement the terms and conditions of the waiver without any further legislative action.
History. Code 1981, § 49-4-142.3 , enacted by Ga. L. 2019, p. 2, § 2-1/SB 106.
Effective date. —
This Code section became effective March 27, 2019.
Editor’s notes.
Ga. L. 2019, p. 2, § 1-1/SB 106, not codified by the General Assembly, provides: “This Act shall be known and may be cited as the ‘Patients First Act.’”
Ga. L. 2019, p. 2, § 3-1/SB 106, not codified by the General Assembly, provides: “The General Assembly finds that:
“(1) For Georgians in recent years, private sector health insurance choices have decreased and the costs of insurance coverage have increased;
“(2) Through the granting of Section 1332 innovation waivers, the federal government allows states to pursue innovative strategies for providing their residents with access to high quality, comprehensive, and affordable health insurance while retaining the basic protections for consumers; and
“(3) Such waivers may be narrowly tailored to address specific problems and may address, among other things, the creation of state reinsurance programs, high-risk health conditions, changes to premium tax credits and cost-sharing arrangements, consumer-driven health care accounts, the creation of new health insurance products, the implementation of health care delivery systems, or the redefinition of essential health benefits.”
U.S. Code.
Section 1115 of the federal Social Security Act, referred to in this Code section, is codified at 42 U.S.C. § 1315 .
Law reviews.
For article on the 2019 enactment of this Code section, see 36 Ga. St. U.L. Rev. 207 (2019).

Structure Georgia Code

Georgia Code

Title 49 - Social Services

Chapter 4 - Public Assistance

Article 7 - Medical Assistance Generally

§ 49-4-140. Short Title

§ 49-4-141. Definitions

§ 49-4-142. Department of Community Health Established; Adoption, Administration, and Modification of State Plan; Drug Application Fees; Personal Needs Allowance

§ 49-4-142.1. Legislative Notification of Request for Waiver

§ 49-4-142.2. Expansion of Medicaid Eligibility Through an Increase in the Income Threshold

§ 49-4-142.3. Waiver Request to Federal Government on Income Threshold for Medicare and Medicaid Services

§ 49-4-142.4. Comprehensive Review of Provider Reimbursement Rates; Development of Proposed Rate Models, Documentation, and Policy Changes

§ 49-4-142.5. Waiver Request Allowing Medicaid Reimbursement

§ 49-4-143. Power of Board of Community Health; Board of Medical Assistance Abolished

§ 49-4-144. Chief Administrative Officer; Powers and Duties

§ 49-4-145. Time Limitations on Claims for Assistance; Form of Claims

§ 49-4-146. Time for Action on Claim

§ 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 Verifi...

§ 49-4-146.2. Requirements for Voluntary Termination of Provider Agreements by Nursing Facilities; Adjustment of Medical Assistance Rate; Decertification

§ 49-4-146.3. Civil Forfeiture of Property and Proceeds Obtained Through Medicaid Fraud

§ 49-4-147. Enforcement of Liens, Claims, or Offsets Against Assistance

§ 49-4-147.1. Claims by Department Against Estate of Medicaid Recipients

§ 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

§ 49-4-148. Recovery of Assistance From Third Party Liable for Sickness, Injury, Disease, or Disability; Compromise or Waiver of Claim; Compliance; Effective Date

§ 49-4-149. Lien of Department of Community Health Against Third Parties; Subrogation to Recipients’ Insurance Claims; Assignment of Recipients’ Claims

§ 49-4-149.1. Submission by Department of Plan for Family Supplementation of Medicaid Payments Upon Federal Removal of Restrictions

§ 49-4-150. Regulations as to Maintenance and Use of Records; Certificate as to Use of Information

§ 49-4-151. Obtaining Information for Investigations and Audits

§ 49-4-151.1. Errors or Omissions in Reporting; Right to Hearing; Exclusion

§ 49-4-152. Research and Demonstration Projects; Pilot Projects to Provide Health Care Coverage and Essential Health Care Services; Pharmacy Assistance Programs

§ 49-4-152.1. Medicaid Prescription Drug Bidding and Rebate Program

§ 49-4-152.2. Rebates for Sole-Source and Multiple-Source Drugs Included in Controlled Medical Assistance Drug List

§ 49-4-152.3. Reuse of Unit Dosage Drugs

§ 49-4-152.4. Department Contracts to Require Refund of Prescription Drug Rebates

§ 49-4-152.5. Restocking Fees

§ 49-4-152.6. Medicaid Coverage for Mood Disorders Prescriptions

§ 49-4-153. Administrative Hearings and Appeals; Judicial Review; Contested Cases Involving Imposition of Remedial or Punitive Measure Against Nursing Facility

§ 49-4-154. Powers and Duties Retained by Department of Human Resources (Department of Community Health)

§ 49-4-155. Department of Community Health to Succeed to Existing Rules, Regulations, Policies, Procedures, and Administrative Orders

§ 49-4-156.1. Reimbursement for Services Rendered Under Article 5 of Chapter 6 of This Title

§ 49-4-157. Construction of This Article With Federal Act

§ 49-4-158. Certain Dependents of Military Service Members to Maintain Eligibility and Priority for Certain Medical Assistance and Developmental Disability Services Under Certain Conditions; Waiver to Implement Such Provision; Compliance With Certain...

§ 49-4-159. Medicaid Coverage for Lactation and Postpartum Care

§ 49-4-159.1. State Plan Amendment to Implement Express Lane Eligibility in Medicaid and the Peachcare for Kids Program; Enrollment and Renewal