Current News

2021 Q1 Medicare Newsletter

Published on: 03/31/20

In this issue you will find: Required Provider Training * Addition of Providers To Your Contract * Receiving your payment via V-Pay * TNGA Medical Advisory Committee (MAC) * PPE Assistance For Our Providers * Clinical Practice Guidelines * Affirmative Statement about UM Decision Making * Documentation Checklist * Claims Authorization Requirement * YOUR TNGA Provider Relations (PR) Representative * Annual Quality Improvement Documents


2020 Q4 Medicare Newsletter

Published on: 12/30/20

In this issue you will find: * Telemedicine Guidance and Attestation * Free Telehealth Solution For YOUR Practice * Receiving your payment via vPay * COVID-19 Survey and PPE Assistance * COVID-19 Update * Provider Training * TNGA Medical Advisory Committee (MAC) * Documentation Checklist * Annual Quality Improvement Documents * Clinical Practice Guidelines * YOUR TNGA Provider Relations (PR) Representative * Affirmative Statement about UM Decision Making * Addition of Providers To Your Contract * Demographic Updates * Claims Authorization Requirement


2020 Q3 Newsletter

Published on: 06/26/20

In this issue....COVID-19 Update, COVID-19 Survey and PPE Assistance, Free HIPPA Compliant Telehealth available to all TNGA providers, Telemedicine Guidance and Attestation Relaxing telehealth regulations does not mean relaxing fraud enforcement, TNGA Medical Advisory Committee (MAC), Documentation, Checklist, Affirmative Statement about UM Decision Making, Receiving your payment via V-Pay, Claims Authorization Requirement, Annual Quality Improvement Documents, Clinical Practice Guidelines.


2020 Q2 Medicare Newsletter

Published on: 06/26/20

In this edition you will find: COVID-19 Update, COVID-19 Survey and PPE Assistance, Free HIPPA Compliant Telehealth available to all TNGA providers, Telemedicine Guidance and Attestation, Relaxing telehealth regulations does not mean relaxing fraud enforcement, TNGA Medical Advisory Committee (MAC), Documentation Checklist, Receiving your payment via V-Pay, Claims Authorization Requirement, Annual Quality Improvement Documents, Clinical Practice Guidelines, Affirmative Statement about UM Decision Making


COVID-19 Protection Protocols

Published on: 06/19/20

As providers considered opening up their offices, TNGA has put together a COVID-19 protection protocol document to assist you and your staff to navigate the numerous safety measures that are recommended for medical offices.


Telemedicine Guidance & Attestation (Medicaid)

Published on: 03/27/20

Effective immediately, Therapy Network of Georgia (TNGA) shall reimburse, according to your contract, Speech Therapy, Physical Therapy and Occupational Therapy services for all Wellcare Medicaid and PeachCare for Kids members.


Telemedicine Guidance & Attestation (Medicare)

Published on: 03/27/20

Effective March 6, 2020, Therapy Network of Georgia (TNGA) shall reimburse Speech Therapy, Physical Therapy and Occupational Therapy services for services described herein which apply to services rendered to Medicare and Market Place (Commercial) enrollees.


COVID-19 Update

Published on: 03/11/20

As of March 11, 2020, our Organization declared the COVID-19 situation as an emergency and has since activated the Disaster Recovery Plan related to this infectious disease pandemic. At this time, our operations remain fully operational and functional.

The safety and well-being of our employees is of great concern, and the Organization has made the decision to close our physical offices in both Florida and Puerto Rico to all non-essential personnel. Employees not reporting to the office will continue to work via remote access until further notice and will have full access to computer systems and telephone systems to operate as they do every day. To be clear, we do not anticipate any impact to our daily operations, but we wanted to be transparent about the steps we are taking to minimize any disruptions in the wake of this pandemic.

Please continue to submit your authorizations and claims as normal, and reach out to your Provider Relations Representatives, as needed. Should you need to speak to someone via telephone, you can continue to utilize the same phone numbers to contact us.

We are also encouraging you to follow and to stay up to date on the guidance from the: Centers for Disease Control and Prevention (CDC).

Please immediately report any incidents involving a COVID-19 infection, including but not limited to not being able to service a member due to a COVID-19 infection or your office closures due to a possible COVID-19 infection, by contacting us at 855-825-7818.

Thank you for your support and understanding during these unprecedented times and we hope everyone remains safe and healthy.


2019 Q4 Newsletter

Published on: 12/17/19

In this issue you will find the following articles: Medical Records Documentation Checklist, Network Provider Medicaid Re-credentialing, Wellcare Medicare Member Information, Upcoming Billing Requirements for Medicare: Therapy Assistant Modifiers, Claims Denials for Authorization, Electrical Stimulation, Bundled Codes, Receiving your payment via V-Pay, Annual Quality Improvement Documents, Clinical Practice Guidelines, Fraud, Waste & Abuse, TNGA Provider Relations Territories


2019 Q3 Medicare Newsletter

Published on: 10/23/19

In this issue you will find the following articles: Documentation Checklist, Are You Currently Utilizing TNGA’s Provider Web Portal to submit yourauthorizations?, Wellcare Medicare Member Information, Upcoming Billing Requirements for Medicare: Therapy Assistant Modifiers, Claims Denials for Authorization, Electrical Stimulation, Bundled Codes, Receiving your payment via V-Pay, TNGA Provider Relations Territories


Our Provider Web Portal and Its Security Features

Published on: 05/01/19

HS1 will assign the primary, or Account Owner, account. The Account Owner creates and assigns any other usernames for additional staff members. Employees should never share their credentials – each user should have their own username! Account credentials should not be shared amongst staff.


BCW Authorization Process

Published on: 01/09/19

As a contracted provider with Therapy Network of Georgia (TNGA) for participation with WellCare of Georgia (WellCare), we offer you an enhanced reimbursement arrangement when treating WellCare members enrolled inGeorgia’s Babies Can’t Wait (BCW) Program.


2018 Q3 Medicaid Newsletter

Published on: 12/21/18

In this issue you will find the following articles: Enhanced TNGA UM Model, TNGA Provider Portal, WellCare Medicare Member Information, Our New Provider Manual, www.mytnga.com and TNGA Provider Relations Territories


2018 Q3 Newsletter

Published on: 09/04/18

In this issue you will find the following articles: Enhanced TNGA UM Model, WellCare Medicare – Are You Currently Utilizing TNGA’s Provider Web Portal?, WellCare Medicare Member Information, Our New Provider Manual, www.mytnga.com, TNGA Provider Relations Territories ...


Enhanced Utilization Management Model

Published on: 04/26/18

Enhanced Utilization Management Model Published on: 04/26/18 You have previously received education from your TNGA Provider Relations Rep about the Enhanced TNGA UM Model, implemented October 2017. As a part of your provider education, your representative covered information from the education presentation that was pending approval...


New TNGA Provider Manual

Published on: 03/30/18

Updates to Our Provider Web Portal

Published on: 05/30/17

We are pleased to announce the upcoming release of a new version of the Provider Web Portal (PWP). Available June 1, 2017, the new version will have a new look and new functionality that will allow you to be more effective .....


2017 Q1 Newsletter

Published on: 03/30/17

In this issue you will find the following articles: TNGA Medical Advisory Committee (MAC), Children Intervention Services (CIS) New Rates for Physical Therapies and Occupational Therapies, 2016 Provider Satisfaction Results, Functional Limitation Reporting G-Codes, Are You Currently Utilizing TNGA’s Provider Web Portal?, TNGA Website (mytnga.com), Medicaid Authorization Submission, Global Period of Assigned Levels for a Patient with Developmental Delay, Our Reps and their Territories, 2017 Annual Update to the Medicaid and Medicare Therapy Code List for OT & PT and We’re Just A Phone Call Or Click Away


DCH Provider Training Notice

Published on: 08/05/2015

As you know, the change from ICD-9 to ICD-10 is fast approaching. Effective October 1, 2015, all health care providers, payers, clearinghouses and billing services must be prepared to comply with the .....


Medicaid Credentialing Verification Organization Presentation

Published on: 07/22/2015

Centralized PA Portal Review

Published on: 04/02/2015

The Georgia Department of Community Health (DCH) is implementing Phase II of the Centralized Prior-Authorization (PA) Portal, effective August 1, 2015, for the Outpatient Therapy Community .....


Georgia Medicaid Provider Enrollment

Published on: 04/02/15

Section 6401 (a) of the Affordable Care Act (ACA) established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria .....