An overview of Georgia Families [Jan. 2012]

An Overview 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 Kids. The program is a partnership between the Georgia Department of Community Health (DCH) and private Care Management Organizations (CMO) to ensure access to 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 as well as, provider and quality services.
Program Description
Georgia Families provides health care services to children enrolled in PeachCare for Kids 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 Kids. The health plans also offer additional benefits such as:

Included Populations
PeachCare for Kids Low Income Medicaid Right from the Start Medicaid Breast and Cervical Cancer
Excluded Populations
Foster Care Aged, Blind and Disabled Nursing Home

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

TM

Peach State Health Plan: 866-874-0633

WellCare of Georgia, Inc.: 866-300-1141

Georgia Department of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404-656-4507 January 2012

An Overview of Georgia Families

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).

CMOs By Region

Region

Counties

CMOs

Atlanta

Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Henry, Jasper, Newton, Paulding, Pickens, Rockdale, Spalding, Walton

AMERIGROUP Peach State Health Plan WellCare

Central

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

Peach State Health Plan WellCare

East

Burke, Columbia, Emanuel, Glascock, Greene, Hancock, Jefferson, AMERIGROUP

Jenkins, Lincoln, McDuffie, Putnam, Richmond, Taliaferro, Warren,

Washington, Wilkes

WellCare

North

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

AMERIGROUP WellCare

Southeast Southwest

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

AMERIGROUP WellCare
Peach State Health Plan WellCare