A snapshot of Georgia Families: a program of the Georgia Department of Community Health [Jan. 2010]

A Program Of The Georgia Department Of Community Health
A SNAPSHOT OF

Georgia Families

Overview
Effective June 1, 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 (CMOs) 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 Medicaid Division of DCH also monitors the CMOs to ensure compliance with contractual requirement standards for contract management, member services, provider services and quality services.

Program Description
Georgia Families provides health care services to children enrolled in PeachCare for KidsTM and certain men, women, children, pregnant women and women with breast or cervical cancer covered by Medicaid. Children in foster care are not enrolled in Georgia Families. The remainder of Georgia's Medicaid population which includes aged, blind and disabled citizens are not included in the Georgia Families program.
Benefits
Georgia Families members continue to receive the same benefits that are offered with Medicaid/PeachCare for KidsTM. The health plans also offer additional benefits such as:
Expanded access to health care services and providers
Added member education on accessing care, referrals to specialists, member benefits and wellness education
More efficient delivery of health care services and member care
Care Management Organizations
DCH contracts with three CMOs:
AMERIGROUP Community Care: 800-249-0442
Peach State Health PlanTM: 866-874-0633
WellCare of Georgia, Inc.: 866-300-1141

INCLUDED POPULATIONS
nPeachCare for KidsTM n Low Income Medicaid n Right from the Start Medicaid n Breast and Cervical Cancer
EXCLUDED POPULATIONS
nFoster Care n Aged, Blind and Disabled n Nursing Home

Ways to Enroll in a Health Plan
1. Mail via completion of a Member Packet 2. Telephone by calling 888-GA-ENROLL (888-423-6765)

Additional Information
Georgia Families representatives are available to answer any questions about the program and to help members
select a plan and primary care physician by calling 888-GA-ENROLL (888-423-6765) toll-free.

2 Peachtree Street, Atlanta, Ga 30303 w www.dch.georgia.gov January 2010

A Snapshot Of Georgia Families

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 Plan, WellCare
Peach State Health Plan, WellCare
AMERIGROUP, WellCare
AMERIGROUP, WellCare
AMERIGROUP, WellCare
Peach State Health Plan, WellCare