The goal of the Office of Provider Management (OPM) is to ensure that all FY20 contracts are executed timely and efficiently. This includes all amendments you desire to make within your agency/program (i.e., name change, capacity, address change, program designations…).
All documents for amending your agency’s contract must be submitted to OPM by close of business on January 28, 2019. If not received by that date, amendments will not be processed until the next contracting cycle.
For your convenience, we’ve gathered all applicable vendor request forms:
- Address Change
- Capacity
- Close Location
- CPA Address Change
- CPA PAYMENT Address Change
- New Site
- Ownership Change
- Program Designation Change
Submit your changes electronically to Brenda Jones at Brenda.Jones@dhs.ga.gov or fax to 678-747-6881. If faxing, please include your organization's name, address and contact information on the cover page. If you have questions or concerns, contact either Brenda Jones at Brenda.Jones@dhs.ga.gov or 404-232-7860 or LaShaunda Daniel at LaShaunda.Daniel@dhs.ga.gov or 404-657-0919.
