Home Health Services

Overview

The Department of Community Health (DCH, Department) reimburses home health agencies (HHA) who provide skilled nursing, physical therapy, occupational therapy, speech therapy and other skilled services to eligible Georgia Medicaid members.

Home Health Agency Classification

Home Health Agencies are classified into one of the following categories: 

• Freestanding
  • Urban
  • Rural
• Hospital-Based

Medicaid Data Form and Medicaid Cost Report

Georgia Medicaid HHA must submit an electronic copy of their completed Medicaid Data form and Medicare Cost Report to DCH.  Data forms and cost reports are due to the Department 150 days after the end of the HHA fiscal year end.  The link for Home Health Cost Data Form is located below and on the Georgia Medicaid Management Information System (GAMMIS) website Provider Portal:  Provider Information, Provider Manuals, Home Health Services, Appendix C (Free Standing) or Appendix D (Hospital-Based). 

Medicaid Data Forms

General Instructions

Appendix C - Freestanding providers  - Updated 04/02/24

Appendix D - Hospital-based providers  - Updated 04/02/24

Parent Office Cost Data Form

A parent office with multiple Georgia home health agency locations must complete a Medicaid Data Form for each home health agency.  The parent office must complete the Parent Office Cost Data Form.

Parent Office Cost Data Form  - Updated 05/24/22

Submit completed Medicaid Data Form and Medicare Cost Reports to [email protected].

Payment Methodology

Each home health agency is reimbursed a specific rate per visit for covered services.   For more information on how home health reimbursement rates are calculated, refer to Provider Portal, Provider Information, Provider Manuals, Home Health Services Chapter 1000. 

Below is list of procedure codes and reimbursement rates for each home health agency.

Home Health Fee Schedule  - Updated 10/16/24

For additional questions or information, click here: Frequently Asked Questions

Additional Resources

Licensing and Services refer to the Healthcare Facility Regulation Division webpage for services that can be offered or other license and regulatory questions. 

Provider Enrollment questions refer to GAMMIS website, Provider Enrollment.

You may contact the Department of Community Health for any additional information.

Angelica Clark Hester – Sr. Manager, [email protected]

Shandriea Crook – Supervisor, [email protected]

Kim Morris – Director of Reimbursement, [email protected]