Trusted EVV-Compliant Home Care Software Partner That Helps You Get Paid Faster

• Netsmart is the official data aggregator for Georgia Medicaid.
• Netsmart is primarily used by home care agencies in Georgia for billing Medicaid. 
• Georgia’s Medicaid programs are underfunded, and it may take several weeks for a client’s information to be uploaded into the Netsmart/Tellus system.
  • Our Customer Success Team does an excellent job helping agencies deal with the challenges associated with these delays.
• Rosemark’s Tellus integration is an API connection that provides two-way communication by matching client information. This allows agency staff to address and resolve claim issues before submission.
• Rosemark automatically syncs to Netsmart, which then transmits that data to Georgia Medicaid for reimbursement. 
• Why choose Rosemark?
  • Rosemark’s Customer Success team will help problem-solve issues.
  • Support from Netsmart (Tellus) is slow and often unhelpful.
  • Netsmart’s portal is bare bones, with limited features beyond schedule and EVV management.

• GAMMIS is the official Georgia Medicaid Portal.
• All of Georgia’s Medicaid authorization information is stored in GAMMIS.
• Home Health Care Providers use the GAMMIS portal for a wide variety of reasons, the most important being:
  • Reviewing client information
  • Reviewing remittance reports
  • Georgia Medicaid Support and Training
• Why choose Rosemark?
  • Our Customer Success Team will help problem-solve issues.
  • GAMMIS and Netsmart (Tellus) are not always in sync. Rosemark can help with that.

Georgia requires all home care agencies billing Medicaid to include the following profile data for each client:

• First and last name
• Medicaid Number
• Medicaid Provider ID
• Birthdate
• ICD 10 Diagnosis Code

Home care agencies in Georgia are required by the state to include the following caregiver information:

• First and last name
• Birthdate
• Email address
• Caregiver ID #

• Register with the state to provide Medicaid services
• Receive a Medicaid provider ID and services/procedure codes of the type of care they are authorized to provide
• Have software that integrates with the aggregator
• Get a client
• Set up client details and schedule
• Record EVV
• Send EVV and billing info to Tellus
• Tellus processes billing
• GAMMIS releases remittance reports and disburses money

Based on the Georgia specs for building the integration, customers who have gone through audits, and working with Netsmart (Tellus) for years, Rosemark’s Customer Success Team knows some best practices for home care agencies in Georgia:

• Keep manual edits to Visits under 10% of all your total visits.
• When making a manual edit to a visit, choose a Reason Code that best matches the situation. For example:
  • Did the caregiver simply forget to clock in/out?
  • Or was there a problem with the visit?
• The Reason Code and note section are very important when making manual edits to visits, especially if your agency were to be audited. Be sure to keep detailed notes.
• Special documentation for manual edits to visits are required! This can be documentation of a phone call to the client verifying the visit was worked, a signed timesheet by the client, or – best case scenario – both.
  • If you’re audited, remember this: In the state’s eyes, if it isn’t documented, it didn’t happen.
• It’s always better to have EVV by the caregiver, even if, for example, the caregiver clocked out hours late because they forgot.
• To stay compliant, it is crucial to manage missing EVV and visit errors on a daily basis.