Not Enrolled in Medicaid

Georgia’s Nursing Home Provider Fee Act requires that all of the state's nursing homes pay a fee based on the number of patient days of service provided. The fee is due from all licensed nursing homes except federal and state facilities, and all patient days other than those paid by the Medicare program are included in the fee calculation. The fee amount payable for each patient day may vary based on a facility’s number or percentage of medically indigent patients served.

Filing Instructions

For nursing homes NOT enrolled in Medicaid.

The files available below provide information about reporting requirements and instructions for how provider fees should be paid.

Report Formats

NOTE: Clicking on the documents may open them in a new browser window. To download the files to your hard drive, right-click the file (Control-click on Macintosh) and choose "Save Target As..."

Provider Fee Report Not in Medicaid Not Exempt - Updated 04/02/24

Report Instructions

Instructions Not in Medicaid not exempt

Provider Fee Payments

Georgia Department of Community Health receives provider fee payment via JP Morgan Chase PAY CONNEXION. Please use the following resources for assistance https://dch.georgia.gov/provider-fee-payment-faqs  or call 888-706-0081 or email [email protected].

If your facility has not received a Registration Email from [email protected], please submit the Sign-up Form below.

This file includes the forms needed to set up the electronic funds transfer for payment of provider fee payments. The forms may also be used to make changes to facility name, home office name, contact person, and bank information related to provider fee payments (only).

JPMorgan Chase PAY CONNECT Sign-Up Sheet  - Updated 01/04/21

Contact Information

If you have any questions about the provider fee program or reporting requirements, please consult the Directory of Contacts listing and contact the person designated for the subject of your questions.

Directory of Contacts  - Updated 02/27/23