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1. www.mmis.georgia.gov › portal › PubAccessEnrollment Application - Georgia

   www.mmis.georgia.gov › portal › PubAccess

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   Welcome to the online Provider Enrollment application. The enrollment application is a one source application for both fee-for-service Medicaid and CMO (Care Management Organization) enrollment. You must complete each step in the Enrollment application.

   • Enrollment - Georgia

     The Provider Enrollment Unit enrolls qualified providers to...

   • Enrollment Wizard - Georgia

     Enrollment Wizard Providers use this page to complete an...

   • Georgia Medicaid Provider Enrollment Guide

     Go to the Georgia Web Portal homepage at...

   • Enrollment Status - Georgia

     User Information. Enrollment Status. This page provides a...

   • Providers | Georgia Medicaid

     Providers Subnavigation toggle for Providers. ... YouTube...

   • Provider Enrollment Application Instructions

     Provider Enrollment Application Instructions. Applicant: Use...

2. People also ask

   What is the provider enrollment application?

   • Welcome to the online Provider Enrollment application. The enrollment application is a one source application for both fee-for-service Medicaid and CMO (Care Management Organization) enrollment. You must complete each step in the Enrollment application.

   Enrollment Application - Georgia

   www.mmis.georgia.gov/portal/PubAccess.Enrollment/Enrollment Wizard/tabId/65/desktopdefault.aspx?tabname=Enrollment Application

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   Does Georgia have a Medicaid provider number?

   • To the best of my knowledge, the information supplied in this document is true, accurate and complete and is hereby released to the Georgia Department of Community Health, Division of Medical Assistance for the purpose of issuing a Medicaid provider number.

   GA DEPT OF COMMUNITY HEALTH DIVISION OF MEDICAL ASSISTANC…

   dbhdd.georgia.gov/sites/dbhdd.georgia.gov/files/imported/DBHDD/Files/Medicaid Application Instructions.pdf

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   When do I need to submit an individual practitioner enrollment application?

   • A n Individual Practitioner enrollment application must be submitted if the provider has never been enrolled in Georgia Medicaid. I f the provider was previously enrolled or enrolled and terminated (voluntarily or involuntarily), a new Individual Practitioner enrollment application must be submitted.

   Georgia Medicaid Provider Enrollment Guide

   www.mmis.georgia.gov/portal/Portals/0/StaticContent/Public/ALL/NOTICES/ProviderEnrollmentGuide 21-07-2015 164336.pdf

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   How do I become a Medicaid provider?

   • The Individual Practitioner applying to become a Medicaid provider mustsign the application and Statement of Participation. For Facility applications, an authorized representative may sign the application and Statement of Participation. 15. How do I receive my PIN so I can begin submitting claims?

   Georgia Medicaid Provider Enrollment Guide

   www.mmis.georgia.gov/portal/Portals/0/StaticContent/Public/ALL/NOTICES/ProviderEnrollmentGuide 21-07-2015 164336.pdf

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