CMS Approves Amendment to Georgias Planning for Healthy Babies Section 1115 Demonstration

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The Centers for Medicare & Medicaid Services (CMS) approved an amendment to the section 1115 demonstration, “Georgia Planning for Healthy Babies.” This amendment allows Georgia to continue to reimburse legally responsible individuals (LRIs) for providing medically necessary personal care services (PCS) as stipulated under section 1905(a) to individuals under age 21 enrolled in the Georgia Pediatric Program (GAPP). Under this amendment, LRIs must meet certain provider requirements set by the state and all other criteria established by the demonstration to receive payments for providing direct care. This demonstration is approved through December 31, 2029. Today’s approval and other administrative documents can be found on the Medicaid.gov demonstration page.