Ga. Comp. R. & Regs. 511-5-10-.01

Current through Rules and Regulations filed through October 17, 2024

Rule 511-5-10-.01 - Criteria for Certification as Cancer Treatment Facility

Hospitals, free-standing radiation and physician group practices or medical treatment centers must be certified each state fiscal year by the Department of Public Health to be eligible for reimbursements for active cancer treatment provided to eligible enrolled patients. These categories of medical providers are considered to be "facilities" for the purposes of program participation.

To be eligible for Cancer State Aid (CSA) certification, treatment facilities must complete and submit a signed participation contract or agreement and required documentation, and meet the appropriate requirements as listed by type of facility:

1) Hospitals:

a) The hospital must be licensed by the State of Georgia.

b) The hospital must be accredited by the Joint Commission on Accreditation of Healthcare Organizations or by another Centers for Medicare and Medicaid Services (CMS) accepted accreditation organization.

2) Free-standing radiation therapy centers:

Free-standing radiation therapy centers must be licensed by the State of Georgia and must be in compliance with provisions stated in the annual Cancer State Aid participation agreement.

3) Physician group practices or medical treatment centers that provide cancer treatment services on an out-patient basis:

Physician group practices or medical treatment centers must be in compliance with provisions stated in the annual Cancer State Aid participation agreement.

Ga. Comp. R. & Regs. R. 511-5-10-.01

O.C.G.A. §§ 31-2A-6, 31-15-5.

Previously rule 290-5-10-.01.

Adopted: Original Rule entitled "Criteria for Certification as Cancer Treatment Facility" adopted. F. Apr 11, 2012; eff. May 1, 2012.