Claims for medical assistance must be submitted not more than six months after the month in which the service is rendered and shall be in the form prescribed by the commissioner, except that the commissioner may, where he finds that delay in submission of claims was caused by circumstances beyond the control of the provider, extend the period for submission of certain claims for a period not to exceed 12 months after the month in which the service was rendered; provided, however, that such limitations shall not apply to claims timely filed pursuant to Title XVIII of the federal Social Security Act of 1935, as amended, and reimbursements of such claims may be authorized by the department so long as federal financial participation in such reimbursements is available.
History. Ga. L. 1977, p. 384, § 7; Ga. L. 1981, p. 1887, § 1.
U.S. Code.
Title XVIII of the federal Social Security Act of 1935, referred to in this Code section, is codified at 42 U.S.C. § 1395 et seq.
Structure Georgia Code
Article 7 - Medical Assistance Generally
§ 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
§ 49-4-142.5. 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
§ 49-4-146.3. 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
§ 49-4-150. 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
§ 49-4-152.1. Medicaid Prescription Drug Bidding and Rebate Program
§ 49-4-152.3. Reuse of Unit Dosage Drugs
§ 49-4-152.4. Department Contracts to Require Refund of Prescription Drug Rebates
§ 49-4-152.6. Medicaid Coverage for Mood Disorders Prescriptions
§ 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
§ 49-4-159. Medicaid Coverage for Lactation and Postpartum Care