A snapshot of Georgia Families, a program of the Georgia Department of Community Health [Jan. 2008]

A Program Of The Georgia Department Of Community Health

A SNAPSHOT OF

Georgia Families

Overview

In 2006, the state of Georgia implemented Georgia Families, a managed care program through which health care

services are delivered to members of Medicaid and PeachCare for KidsTM. The program is a partnership between

the Georgia Department of Community Health (DCH) and private Care Management Organizations (CMO) to ensure

accessible and quality health care services for all of the Medicaid managed care members. By providing a choice of

health plans, Georgia Families allows members to select a health care plan that fits their needs. The Managed Care

Division, a division of DCH, also monitors the CMOs to ensure compliance with

contract requirement standards for contract management, member services, provider services and quality services.

INCLUDED

POPULATIONS

Program Description

nPeachCare for KidsTM

Georgia Families provides health care services to children enrolled in PeachCare for KidsTM and certain men, children, pregnant women and women with breast or cervical cancer covered by Medicaid. Children in foster care are not enrolled in Georgia Families. The reminder of Georgia's Medicaid population

n Low Income Medicaid n Right from the Start Medicaid n Breast and Cervical Cancer
patients

includes lower income and aged, blind and disabled citizens and is not included

in the Georgia Families program.

Benefits
Members continue to receive the same benefits that were offered with Medicaid/ PeachCare for KidsTM. The health plans also offer additional benefits such as:
n Expanded access to plans and providers n Added member education on accessing care, referrals to specialists,
member benefits and wellness education n More efficient health care service delivery and better member care
Care Management Organizations

EXCLUDED POPULATIONS
nFoster Care n Aged, Blind and Disabled n Nursing Home n Long-term Care

DCH contracts with three CMOs: n AMERIGROUP Community Care: 1-800-600-4441 n Peach State Health PlanTM: 1-800-704-1484 n WellCare: 1-866-231-1821
Cost

Members do not pay more than they are currently paying for Medicaid copayments or PeachCare for KidsTM premiums.
Ways to Enroll in a Health Plan

1.

Mail via Member Packet

2.

Call 1-888-GA-ENROLL (1-888-423-6765)

3.

Online at www.georgia-families.com

2 Peachtree Street, Atlanta, Ga 30303 w www.dch.georgia.gov

January 2008

A Snapshot Of Georgia Families

Additional Information
Georiga Families representatives are available to answer any questions about the program and to help members select a plan and primary care physician by calling 1-888-GA-ENROLL (423-6765) toll-free or visiting the Web site at www.georgia-families.com.
Providers By Region

Region
Atlanta Central
East North
Southeast Southwest

Counties
Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Henry, Jasper, Newton, Paulding, Pickens, Rockdale, Spalding, Walton
Baldwin, Bibb, Bleckley, Chattahoochee, Crawford, Crisp, Dodge, Dooly, Harris, Heard, Houston, Johnson, Jones, Lamar, Laurens, Macon, Marion, Meriwether, Monroe, Muscogee, Peach, Pike, Pulaski, Talbot, Taylor, Telfair, Treutlen, Troup, Twiggs, Upson, Wheeler, Wilcox, Wilkinson
Burke, Columbia, Emanuel, Glascock, Greene, Hancock, Jefferson, Jenkins, Lincoln, McDuffie, Putnam, Richmond, Taliaferro, Warren, Washington, Wilkes
Banks, Catoosa, Chattooga, Clarke, Dade, Dawson, Elbert, Fannin, Floyd, Franklin, Gilmer, Gordon, Habersham, Hall, Hart, Jackson, Lumpkin, Madison, Morgan, Murray, Oconee, Oglethorpe, Polk, Rabun, Stephens, Towns, Union, Walker, White, Whitfield
Appling, Bacon, Brantley, Bryan, Bulloch, Camden, Candler, Charlton, Chatham, Effingham, Evans, Glynn, Jeff Davis, Liberty, Long, McIntosh, Montgomery, Pierce, Screven, Tattnall, Toombs, Ware, Wayne
Atkinson, Baker, Ben Hill, Berrien, Brooks, Calhoun, Clay, Clinch, Coffee, Colquitt, Cook, Decatur, Dougherty, Early, Echols, Grady, Irwin, Lanier, Lee, Lowndes, Miller, Mitchell, Quitman, Randolph, Schley, Seminole, Stewart, Sumter, Terrell, Thomas, Tift, Turner, Webster, Worth

CMOs AMERIGROUP, Peach State Health PlanTM, WellCare
Peach State Health PlanTM, WellCare
AMERIGROUP, WellCare
AMERIGROUP, WellCare
AMERIGROUP, WellCare
Peach State Health PlanTM, WellCare

CMO Enrollment (as of April 1, 2008)

CMO
Amerigroup Peach State Wellcare Total

Enrollment 195,608 277,764 449,593
922,965