Get the free GA CCSP EmployerAcumen Agreement Form

GA CCSP Employer/Acumen Agreement Form This Agreement is between Acumen Fiscal Agent and the Employer as stated below. General understanding and conditions of the CCSP Program Consumer Direction option:

How to fill out ga ccsp employeracumen agreement

How to fill out GA CCSP Employeracumen Agreement?

1. Obtain the form: The GA CCSP Employeracumen Agreement form can typically be obtained from the Georgia Department of Community Health (DCH) website or by contacting their offices directly. Make sure you have the latest version of the form.
2. Read the instructions: Before filling out the form, carefully read the instructions provided. This will ensure that you understand the purpose of the agreement and the information required.
3. Provide employer information: Begin by providing your employer information as requested on the form. This may include your business name, address, contact details, and any other relevant information.
4. Provide employee information: Next, provide the necessary information about the employee or employees covered by this agreement. This may include their names, job titles, Social Security numbers, and other relevant details.
5. Specify services provided: Indicate the specific services to be provided by the employee under the Georgia CCSP program. This may include personal care services, nursing services, therapy services, or other types of support.
6. Enter reimbursement rates: The agreement form will typically require you to specify the reimbursement rates or payment terms for the services provided. This may include hourly rates, flat fees, or other agreed-upon payment arrangements.
7. Sign the agreement: Once you have completed the form, ensure that all required fields are filled out accurately. Then, sign the agreement and date it as instructed.

Who needs GA CCSP Employeracumen Agreement?

1. Homecare agencies: Homecare agencies that wish to provide services under the Georgia CCSP program will need to fill out the GA CCSP Employeracumen Agreement. This agreement ensures that the agency agrees to comply with program requirements and provides the necessary information to facilitate payment.
2. Individual employers: If you are an individual who directly employs a caregiver or personal support worker for yourself or a loved one under the Georgia CCSP program, you will also need to complete the GA CCSP Employeracumen Agreement. This agreement establishes the employer-employee relationship and outlines the terms of service.
3. Caregivers or personal support workers: Depending on the specific requirements of the Georgia CCSP program, caregivers or personal support workers may also be required to sign the agreement. This helps to ensure that they understand their obligations and responsibilities under the program.

Note: It is important to consult the official guidelines and requirements provided by the Georgia Department of Community Health (DCH) or seek legal advice if you have any specific questions or concerns about filling out the GA CCSP Employeracumen Agreement.

For pdfFiller’s FAQs

What is ga ccsp employeracumen agreement?

The GA CCSP Employer/ACUMEN agreement is a contract between the Georgia Department of Community Health and the selected employer to provide health benefits for Medicaid members.

Who is required to file ga ccsp employeracumen agreement?

Employers who have been selected to participate in the Georgia Comprehensive Care Services Program (CCSP) are required to file the employer/ACUMEN agreement.

How to fill out ga ccsp employeracumen agreement?

The GA CCSP Employer/ACUMEN agreement can be filled out electronically through the ACUMEN portal on the Georgia Medicaid Management Information System (GAMMIS) website.

What is the purpose of ga ccsp employeracumen agreement?

The purpose of the GA CCSP Employer/ACUMEN agreement is to establish the terms and conditions under which the employer will provide health benefits to Medicaid members enrolled in the program.

What information must be reported on ga ccsp employeracumen agreement?

The GA CCSP Employer/ACUMEN agreement requires the employer to report information such as the types of benefits provided, the cost-sharing arrangements, and the provider network.

When is the deadline to file ga ccsp employeracumen agreement in 2023?

The deadline to file the GA CCSP Employer/ACUMEN agreement in 2023 is typically June 1st.

What is the penalty for the late filing of ga ccsp employeracumen agreement?

The penalty for the late filing of the GA CCSP Employer/ACUMEN agreement may result in the suspension of the employer's participation in the program until the agreement is filed.

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