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Appendix JFunctional Requirements Matrices - Georgia Department - dch georgia

Appendix JFunctional Requirements Matrices - Georgia Department - dch georgia 2025

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The document outlines the functional requirements for a consolidated application software system to support various health benefits programs managed by the Department of Community Health (DCH) in Georgia, including Medicaid, PeachCare for Kids, SHBP, and BORHP. It specifies the need for a single provider database and emphasizes the importance of meeting specific requirements tailored to each program while maintaining consistency across them. The document includes detailed matrices that categorize general system requirements, Medicaid/PeachCare requirements, and SHBP/BORHP requirements. Additionally, it addresses implementation timelines, funding sources, and compliance with HIPAA standards.

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Click ‘Get Form’ to open the Appendix J Functional Requirements Matrices in our platform.
Begin by reviewing the General System Requirements section. Familiarize yourself with the mandatory functional requirements and desirable capabilities listed.
For each requirement, indicate your proposed system's capability by checking the appropriate box: Current Capability, Future Capability, Manual Process, or No Capability.
If you select Future Capability, Manual Process, or No Capability, provide an explanatory statement in the 'Comments' section detailing how you plan to meet these requirements.
Continue through each matrix (Medicaid/PeachCare for Kids Requirements and SHBP/BORHP Requirements) following the same process of checking boxes and providing comments as necessary.
Once all sections are completed, review your entries for accuracy before saving your document.

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What kind of Medicaid is Georgia Department of Community Health?

Georgia Medicaid offers benefits on a Fee-for-Service (FFS) basis or through managed care plans. Under the FFS model, Georgia pays providers directly for each covered service received by a Medicaid beneficiary. Under managed care, Georgia pays a fee to a managed care plan for each person enrolled in the plan.

What does the Georgia Department of Community Health cover?

Dedicated to providing access to affordable, quality health care, the Georgia Department of Community Health (DCH) oversees the states Medicaid, PeachCare for Kids, Planning for Healthy Babies, and Medicaid Waiver programs.

What does DCH stand for in Georgia?

The Georgia Department of Community Health (DCH) is one of Georgias four health agencies serving the states growing population of over 10 million people.

What type of insurance is the Georgia Department of Community Health?

Today, DPHs main functions include: Health Promotion and Disease Prevention, Maternal and Child Health, Infectious Disease and Immunization, Environmental Health, Epidemiology, Emergency Preparedness and Response, Emergency Medical Services, Pharmacy, Nursing, Volunteer Health Care, the Office of Health Equity, Vital