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Georgia CPA - FAQs

Answers to common questions about Georgia CPA renewals, filing responsibilities, expiration timelines, and GRITS requirements following the state's transition to a new electronic filing system.

Georgia CPA - Frequently Asked Questions (FAQs)

Overview

Georgia transitioned to a new electronic filing system in December 2025. Since that transition, pharmacies have contacted Outcomes with questions regarding CPA renewals, application requirements, physician attestations, filing responsibilities, expiration timelines, and GRITS-related requirements.

While Outcomes provides CPA documentation and coordinates physician participation for the Outcomes CPA program, we do not administer, manage, or have access to the Georgia Composite Medical Board (GCMB) filing system. As a result, we cannot view filing status, application details, approval information, renewal dates, or Board correspondence.

The information below reflects our current understanding based on customer inquiries, discussions with our physician sourcing partner, and information shared by pharmacies navigating the Georgia filing process.

Understanding the Georgia Filing Process

What is the difference between an Outcomes CPA and my Georgia Composite Medical Board filing?

These are two separate activities.

Outcomes CPA

    • Outcomes provides Collaborative Practice Agreement (CPA) documentation and protocol materials.
    • Outcomes coordinates physician participation and annual physician contract renewals.
    • Pharmacies receive updated CPA documentation from Outcomes each year as part of our physician renewal process.

Georgia Composite Medical Board Filing

    • The pharmacy is responsible for submitting and maintaining its filing with the Georgia Composite Medical Board.
    • Outcomes cannot submit filings on behalf of pharmacies.
    • Outcomes cannot access the Board portal.
    • Outcomes cannot view application status, renewal dates, approvals, or Board communications.

Many questions we receive stem from confusion between these two processes. Receiving updated CPA documentation from Outcomes does not automatically update or renew a pharmacy's Georgia Board filing.

Does Outcomes file Georgia CPA renewals on behalf of pharmacies?

No. The pharmacy is responsible for completing and submitting its renewal application through the Georgia Board's electronic filing system. Outcomes supports the CPA process by coordinating physician documentation and providing required protocol materials, but we do not submit applications and do not have access to the Board's filing portal.

Can Outcomes submit the filing for my pharmacy?

No. The Georgia filing process must be completed by the pharmacy. Outcomes provides CPA documentation but does not submit Board applications, manage regulatory filings, or act on behalf of pharmacies within the Georgia filing system.

Who is responsible for submitting the renewal application?

Based on our current understanding, the pharmacy is responsible for completing and submitting the application through the electronic filing system. For questions regarding portal functionality, application requirements, or submission procedures, pharmacies should contact the appropriate Georgia regulatory agency.

Does the physician initiate the application or filing process?

Based on our current understanding, no. The pharmacy completes the application. Outcomes coordinates physician documentation needed to support the CPA renewal process.

Do I still need to file with the Georgia Composite Medical Board if Outcomes sent me a new CPA?

Yes. Receiving updated CPA documentation from Outcomes does not complete any filing requirements with the Georgia Composite Medical Board. Pharmacies remain responsible for any renewals, updates, or submissions required by the Board.

If my CPA from Outcomes is active, does that mean my Georgia Board registration is active?

Not necessarily. Outcomes can confirm the status of CPA documentation we have provided. However, Outcomes cannot confirm the status of your Georgia Composite Medical Board filing. Pharmacies should verify filing status directly through the Georgia filing system or with the Georgia Composite Medical Board.

Renewal and Expiration Questions

When does my Georgia CPA expire?

Outcomes does not have visibility into your pharmacy's specific Georgia Board filing date, approval date, or expiration date. Pharmacies should review their filing records or contact the Georgia Composite Medical Board directly regarding the status and expiration of a specific filing.

Will I need to renew my Georgia CPA filing?

We do not know for certain whether your pharmacy will need to renew at this time. However, if your previous filing was submitted under the prior one-year process, it is possible that a renewal may be required. Pharmacies should review their filing records and consult the Georgia Board regarding any upcoming renewal requirements.

If Georgia allows a two-year filing period, why am I receiving a new CPA from Outcomes after one year?

Georgia's filing cycle and Outcomes' physician contracting cycle are separate processes. To support our Georgia CPA program, Outcomes partners with a physician sourcing organization. Outcomes' agreements with participating physicians are maintained and renewed annually, independent of the Georgia Board filing cycle. As a result, pharmacies receive updated CPA documentation each year, even if their Board filing remains active for a longer period.

Does receiving a new CPA from Outcomes mean I must immediately submit a new filing with the Georgia Board?

Not necessarily. Outcomes provides updated CPA documentation annually based on physician agreement renewals. Whether a new Board filing is required depends on your specific filing status and applicable Georgia Board requirements. Outcomes does not have visibility into those requirements for individual pharmacies.

Physician Attestation Questions

Does the physician have any role in the electronic filing process?

Based on information shared with Outcomes, the physician may be required to review or complete an attestation within the Georgia filing system after the pharmacy submits its application and associates the physician with the filing. Outcomes does not have direct access to the Georgia Board portal and cannot verify the exact workflow for all filing scenarios. Pharmacies should follow the instructions provided within the application and contact the Georgia Composite Medical Board with questions regarding portal requirements.

I've submitted my application, but it shows Physician Authorization or Physician Attestation is still pending. What does that mean?

Some pharmacies have reported that additional physician review or attestation steps may be required after application submission.

Because Outcomes does not have access to the Board portal, we cannot determine:

    • Whether an attestation request was generated
    • Whether the physician received a notification
    • Whether the physician completed the attestation
    • Whether a delay exists within the portal

Questions regarding physician authorization status should be directed to the Georgia Composite Medical Board.

Can Outcomes contact the physician if an attestation appears to be delayed?

In certain situations, Outcomes may be able to contact our physician sourcing partner and make them aware that a pharmacy reports a pending physician attestation.

However, Outcomes cannot:

    • Access the physician's Board account
    • Complete attestations
    • Verify Board portal activity
    • Guarantee physician response times

Any Board-controlled processes remain outside of Outcomes' visibility and control.

My physician says they completed the attestation, but the portal still shows it as incomplete. What should I do?

We have received reports from some pharmacies that portal updates may not appear immediately after physician actions are completed. Because Outcomes does not administer the Georgia portal, we cannot determine whether the issue is related to application processing, system delays, or another factor. Pharmacies experiencing this situation should contact the Georgia Composite Medical Board directly.

GRITS Questions

What is the GRITS requirement?

GRITS (Georgia Registry of Immunization Transactions and Services) has long been referenced within Georgia vaccine protocol requirements. Under the previous paper-based process, pharmacies were not typically required to provide GRITS-related information during filing. Under the new electronic filing process, pharmacies have reported that GRITS-related information is required during application submission. This continues to be one of the most common questions we receive.

Do all physicians have an individual GRITS number?

Based on feedback from physicians and pharmacies, GRITS participation may be associated with an employer, health system, or facility rather than an individual physician account. As a result, a physician may participate in GRITS but may not personally have access to all account information requested by the filing system.

Can Outcomes help obtain the GRITS information needed for my renewal?

Yes, to the extent possible. Outcomes works with our physician sourcing partner and participating physicians to obtain information that may be needed for CPA renewals.

However, Outcomes:

    • Does not administer GRITS
    • Does not have direct access to GRITS
    • Cannot independently retrieve GRITS account information
    • Cannot guarantee access to information maintained by a physician's employer, health system, or facility

Are there situations where pharmacies use their own GRITS registration information?

Some pharmacies have reported success by associating the CPA physician with their pharmacy's GRITS enrollment and proceeding using information from the pharmacy's GRITS registration. Because Outcomes does not administer GRITS or the Georgia filing portal, we cannot validate, recommend, or guarantee acceptance of any particular filing approach. Pharmacies should confirm requirements directly with GRITS and the Georgia Composite Medical Board.

Why might my updated CPA not include a GRITS Number?

Some pharmacies have noticed that the Georgia filing system requests GRITS-related information that may not be included within the documentation provided by Outcomes. This is often because the requested information is not readily available to the physician. Outcomes continues to seek clarification and will share broadly applicable updates when available.

Has Outcomes received guidance from GRITS or the Georgia Composite Medical Board?

We have contacted both organizations seeking clarification. While we have gathered information through ongoing discussions, we have not yet received sufficiently clear and consistent guidance to answer every pharmacy-specific scenario. Should we receive additional information that may be broadly helpful, this article will be updated.

Physician Information Questions

The portal asks for physician information such as specialty, public health district, practice address, physician type, or distance from the pharmacy. Can Outcomes help?

In some cases, Outcomes may be able to gather additional physician information from our physician sourcing partner. Contact Outcomes Client Support if you require additional information about the physician.

However:

    • Outcomes cannot guarantee availability of all requested information.
    • Outcomes cannot advise which values should be entered into the application.
    • Outcomes cannot provide legal or regulatory guidance regarding filing requirements.

The physician address on my CPA does not match the address shown in the Georgia Board system. Which address should I use?

The address listed on the CPA reflects the address provided by the physician for participation in the Outcomes CPA program and related communications. This is the physician’s preferred address for CPA communication.

Because Outcomes does not administer the Georgia filing system, we cannot determine which address the Board requires for registration purposes. Questions regarding address requirements should be directed to the Georgia Composite Medical Board.

Protocol Number Questions

The Georgia application is asking for a Protocol Number. Where do I obtain that?

Outcomes has received questions regarding a "Protocol Number" field within the Georgia filing process.

Outcomes does not assign protocol numbers and cannot determine what value the Georgia filing system expects for this field. Because this requirement is controlled by the Georgia filing system, pharmacies should contact the Georgia Composite Medical Board directly for guidance.

Application Status and Filing Support

Can Outcomes see my filing status or tell me whether my renewal was approved?

No. Outcomes does not have access to the Georgia Board's filing system and cannot view:

    • Application status
    • Submission dates
    • Approval status
    • Board correspondence
    • Renewal status

Questions regarding application status should be directed to the Georgia Composite Medical Board.

Can Outcomes advise me on how to complete the Georgia application?

No. Outcomes does not administer the Board's filing system and does not provide legal or regulatory advice regarding state application requirements.

Questions related to:

    • Application instructions
    • Required fields
    • Portal functionality
    • Application status
    • Submission requirements
    • Board processes

should be directed to the Georgia Composite Medical Board.

Program Status

Is Outcomes changing or discontinuing the Georgia CPA program?

No. Outcomes continues to support Georgia pharmacies through its CPA program and continues to renew physician agreements as part of our annual renewal process.

Where Can I Go for Additional Questions?

Contact Outcomes Customer Support for:

    • Questions about CPA documentation provided by Outcomes
    • Questions regarding Outcomes physician participation
    • Requests for a copy of your Outcomes-provided CPA documentation

Contact the Georgia Composite Medical Board for:

    • Application instructions
    • Filing requirements
    • Protocol number questions
    • Application status
    • Renewal requirements
    • Expiration dates
    • Physician attestation questions
    • Technical issues with the filing portal

Contact GRITS for:

    • GRITS registration questions
    • GRITS account access
    • Reporting requirements
    • Questions regarding GRITS-specific information requested within the filing process

As additional information becomes available through our ongoing discussions with pharmacies, physicians, GRITS, and state agencies, Outcomes will continue to update this article.