Fee-for-Service Initiative

The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) is phasing in changes to the way it pays providers for delivering state-funded adult behavioral health services. These changes begin July 1, 2016, and include a migration to a fee-for-service payment structure for specific DBHDD provider categories.

This initiative only affects providers that currently receive state funds for delivering adult behavioral health services. The transition does not create an opportunity for providers to expand state-funded services beyond those approved and authorized within their current contract.

DBHDD classifies providers operating in its network using a tier structure based on the types of services each provider delivers. Information regarding how the fee-for-service initiative will affect your agency can be accessed below:

Tier One
Tier One providers are the state’s statutorily authorized public safety-net, known as community service boards (CSB). Due to their specific obligations set forth in Georgia law, the fee-for-service initiative includes various components specific to Tier One providers.  View this presentation to learn how this transition affects Tier One providers.  

Tier Two
Tier Two providers only bill Medicaid for the DBHDD core benefit package and do not currently hold a state-funded contract to deliver services. Tier Two providers are not affected by the migration to fee-for-service.

Tier Two Plus
Tier Two Plus providers currently deliver Medicaid-billable services, as well as the core benefit package under a state-funded contract with DBHDD. View this presentation to learn how this transition affects Tier Two plus providers. See below to register for the webinar.

Tier Three (Medicaid only)
Some Tier Three providers only bill Medicaid for DBHDD specialty services (non-core) and may not hold state-funded contracts with DBHDD. These providers are not affected by the migration to fee-for-service.

Tier Three (Medicaid and State-funded)
Some Tier Three providers currently deliver Medicaid-billable DBHDD specialty services (non-core) and also hold a contract to deliver state-funded specialty services.  View this presentation  to learn how this transition affects Tier Three providers in this category. See below to register for the webinar.