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 04/02/25

Report Instructions

Instructions Not in Medicaid not exempt

Provider Fee Payments

Effective June 10, 2024, Georgia Department of Community Health has changed the system of receiving provider fee payment from JP Morgan Chase PAY CONNEXION to JP Morgan PAYMENTUS. Please use the following resources for assistance, Customer Portal Guide 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

Customer Portal – User Guide V1.1 - Posted 07/12/24

If your facility chooses to mail in your provider fee payment, please send to the lockbox address below:

Nursing Home Fees

P.O. Box 734654

Dallas, TX 75373-4656

Notate on checks that the payment is for NH Provider Fees and the provider name. 

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