Eligibility for CMS | Medical Eligibility | Financial Eligibility | Referral
Services Provided | Clinic Information | Contact Information

ELIGIBILITY FOR CMS

Eligibility for enrollment in CMS is based on the following:

• Type of medical problems – see “Medical Eligibility” section below
• Age of child - birth to 21 years
• Residency in Georgia – child must live in Georgia
• Family income – see “Financial Eligibility” section below

Back to top

MEDICAL ELIGIBILITY

Medically eligible conditions for CMS include a broad spectrum of chronic medical/surgical conditions affecting children. In general, the conditions must:

• Impair normal function
• Require long term specialized medical or surgical care
• Cost beyond the family’s resources; and/or
• Be amenable to treatment, habilitation, and rehabilitation

• Asthma, cystic fibrosis, and other lung disorders
• Diabetes mellitus
• Gastrointestinal disorders
• Craniofacial anomalies including cleft lip/palate
• Some hearing disorders
• Neurological and neurosurgery disorders including seizures, benign tumors, hydrocephalus, and others
• Orthopedic and/or neuromuscular disorders including cerebral palsy, scoliosis, clubfeet, congenital or traumatic amputations of limbs, and others
• Visual disorders including cataracts, glaucoma, strabismus, and others
• Genetic disorders including Down syndrome, metabolic disorders, sickle cell disease, and some chromosomal disorders

Back to top

FINANCIAL ELIGIBILITY

To be financially eligible for CMS, total family income must be below 236% of Federal Poverty Level. Any child who is eligible for Medicaid is also eligible for CMS. All families enrolled in CMS must complete a Financial Analysis form to determine if they will cost participate in the child’s care. Families at 150% or below Federal Poverty Level do not cost participate. CMS staff works with families to make paying the cost participation amount as easy as possible for the family.

Back to top

REFERRAL

Referrals are accepted from any sources, including self-referral from families, by phone, fax, or letter. CMS attempts to contact the primary care physician prior to seeing a child if the referral comes from any source other than that physician. Staff may also evaluate to see if the child may be eligible for other Public Health or community services. Upon contact with the family, CMS staff will determine if the child is eligible to be enrolled in the program. When a child is enrolled, a Plan of Care will be completed to help identify the services the child and family receive, the referrals needed, and the major outcomes to work towards achieving.

Back to top

SERVICES PROVIDED

Families are encouraged to continue medical care with providers that they currently see. In addition, CMS offers case management by the nursing staff for every enrolled child. Medical/surgical treatment and therapy services may be available through private providers. Services may include hospitalization, physician services, surgical services, durable medical equipment, therapies, genetic and nutritional counseling, and medicines for chronic conditions.

Back to top

CLINIC INFORMATION

Onsite clinics are held at each CMS location. Medical specialists come from other parts of the State to provide care to children locally so that families don’t have to travel as much. A general listing of clinics include Orthopedic, Developmental, Pulmonology, Asthma/Allergy, Neurosurgery, Urology, Genetics, and Hematology.

Back to top

CONTACT INFORMATION

For further information or to refer to the CMS program, please contact the following: 

Back to top

For News Releases, click here.

Check out these links...

Southeast Health District
1101 Church Street
Waycross, GA 31501
P: 912-285-6002
F: 912-284-2980

WEBSITE DISCLAIMER

Website design, hosting and maintenance by InterWeb Designs, Inc.
Copyright © 2007-2011 by InterWeb Designs, Inc. All rights reserved.
This website may not be copied or reproduced in any form, in whole or in part,
by anyone without the express written permission of InterWeb Designs, Inc.