Sample notices of appeal are. found in FORMS (pages 13 and 14). Along with the notice of appeal, you will generally file these additional documents: a. pre-calendar statement, a copy of the order or judgment appealed from, any decisions. the order or judgment is based on, and an affidavit of service.
Accessing the Medicaid Interactive Web Portal. A secure logon to the Medicaid Interactive Web Portal is required to access the new attachment option. For new providers, Medicaid will send a letter containing a personal identification number (PIN) and other information on how providers can access the Portal.
GEORGIA MEDICAID: WEB PORTAL USER AGREEMENT. This User Account Agreement is made by and between the State of Georgia Department of Community Health (âDCHâ), and a licensed health care provider, or an entity who acts on behalf of a licensed health care provider, who has signed up for an account on this website (âUserâ).