A: There are a number of reasons this might happen:
1) Client’s diagnosis has not been received: Each client being served through Core services must have a mental health or substance abuse diagnosis. The client can either meet with one of our providers to receive a diagnostic evaluation, or we can request records of a recent diagnosis from the client’s doctor. If we do not have a diagnosis within the first 30 days of treatment, we must suspend services, per Medicaid and State requirements, until the diagnosis is received.
2) Client has inactive Medicaid: We must suspend services on any client whose Medicaid becomes inactive. Inactive Medicaid status often means that paperwork needs to be submitted by the client or client’s caregiver. It is the client/caregiver’s responsibility to contact Medicaid in order to resolve the issue that led to their inactive status in the Medicaid system. The person can often learn how to resolve the issue by speaking to someone at their county DFCS office.
3) Client is in need of a Reassessment: We must suspend services when a client has not attended a reassessment appointment with Georgia HOPE. Medicaid and the State require us to conduct a Reassessment with each client every six months in order to ensure that the client still needs and wants services. If the client does not attend this appointment by the due date, they are suspended until they are able to attend.
***Please note: suspending services is not the same as closing a case. We keep the case open for a period of time in order to assist the family in resolving the issue that led to the suspension. When/if the issue is resolved, services resume