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  1. Below you will find the listing of information specifically related to being a provider in our system, which includes disability-specific applications to become a provider for DBHDD, and disability-specific instructions for completing the application.

  2. Please click the 'New Application' to start a new Provider Enrollment application or click 'Continue Application' to continue with an existing application. 42 CFR 455.460 requires that certain prospective (new), re-enrolling, or revalidating providers pay an application fee.

  3. The purpose of this user’s guide is to provide instructions on completing the Existing Provider application for Developmental Disabilities services. How to Complete Medicaid Application: As an existing provider, you may need to submit the DCH Georgia Department of Community Health (DCH), Division

  4. A pplicants can review the status of their application by going to the Georgia Web Portal homepage at www.mmis.georgia.gov and clicking on the Provider Enrollment/Enrollment Application Status link. Scroll down to the bottom of the page and enter the ATN and Business or Last Name.

  5. To improve efficiency and timeliness of the revalidation process, DCH will require all providers to revalidate online only using the Georgia Medicaid Management Information System (GAMMIS) at www.mmis.georgia.gov. Providers may not revalidate using a paper application.

  6. The FY 2025 Provider Manual for the Division of Developmental Disabilities has been designed as an addendum to your contract/agreement with DBHDD to provide you structure for supporting and serving individuals residing in the state of Georgia. DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES.

  7. The Georgia Composite Medical Board requires users of our web page to download and use the forms found on this web site for applications for licensure, petition for rule waiver, complaint forms and job applications. Many of the forms are designed with legal requirements or Board rules in mind.

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