February 28 Registration Deadline for Georgia APCD Submitters

The annual registration process for the Georgia All-Payer Claims Database (APCD) opens on February 3, 2025 and must be completed by February 28, 2025.  All Georgia APCD submitters must complete registration every year.

The rules and regulations governing the Georgia APCD -- O.C.G.A. 31-53-40 et seq. -- require any insurer, third-party administrator (TPA), pharmacy benefits manager (PBM), or carve-out payer that meets the following criteria to register (or re-register) and submit data:

• An entity that provides health or dental insurance or a health or dental benefit plan in the state, including without limitation an insurance company, medical services plan, hospital plan, hospital medical service corporation, health maintenance organization, or fraternal benefit society, provided that the entity has covered individuals and the entity had at least 1,000 covered lives in the previous calendar year
• The Department of Community Health in the administration of Medicaid fee-for-service claims and the State Health Benefit Plan
• Medicaid care management organizations
• A health benefit plan offered or administered by or on behalf of the federal government with the agreement of the federal government
• Any other entity providing a plan of health insurance or health benefits subject to state insurance regulation, including, but not limited to, a third-party administrator or pharmacy benefits manager, provided that the entity had at least 1,000 covered lives in the previous calendar year

Please note: These criteria exclude entities that provide health insurance or health benefit plans that are accident-only, specified disease, hospital indemnity, long-term care, disability income, or other supplemental benefit coverage.

To get started, simply visit the GA-APCD registration form and complete the online form. For registrants who would like to gather information ahead of time, a downloadable version of the form is available on the welcome page.

If you have any questions, please email [email protected] or call 207-623-2555.