Georgia Families 2016

Fact Sheet

Georgia Families 2016

Overview
Effective June 1, 2006, the state 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 (CMOs) to ensure access to quality health care services for all 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 Medical Assistance Plans Division of DCH also monitors the CMOs to ensure compliance with contractual requirement standards for contract management, member, 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, youth and young adults in foster care are enrolled in Georgia Families 360oSM, as are those receiving adoption assistance, and certain youth in the juvenile justice system. These populations are served by a single CMO (AMERIGROUP) to ensure continuity of health care and improved health outcomes.
The remainder of Georgia's Medicaid population, which includes aged, blind and disabled citizens, is not included in the Georgia Families program.

Included Populations
PeachCare for Kids Low Income Medicaid
Right from the Start Medicaid
Breast and Cervical Cancer
Children, Youth and Young Adults in Foster Care, Adoption Assistance and Juvenile Justice System*
Excluded Populations
Aged, Blind and Disabled Nursing Home * Covered by AMERIGROUP under Georgia Families 360oSM beginning Spring 2014.

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

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Fact Sheet
An Overview of Georgia Families 2016
Benefits
Georgia Families members receive the same benefits that are offered with Medicaid and PeachCare for Kids. The health plans also offer additional benefits such as:
Expanded access to health care services and providers. Added member education about 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 Plan 866-874-0633 WellCare of Georgia Inc. 866-300-1141
The table on the next page lists CMO choices on a regional/county basis.
Ways to Enroll in a Health Plan
1. Mail after completion of a Georgia Families 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).

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

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An Overview of Georgia Families 2016

CMOs By Region

Region Counties

Atlanta

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

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

East

Burke, Columbia, Emanuel, Glascock, Greene, Hancock, Jefferson, Jenkins, Lincoln, McDuffie, Putnam, Richmond, Taliaferro, Warren, Washington, Wilkes

CMOs
Amerigroup Peach State Health Plan WellCare
Amerigroup Peach State Health Plan WellCare
Amerigroup Peach State Health Plan WellCare

North Southeast Southwest

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 Peach State Health Plan WellCare

Appling, Bacon, Brantley, Bryan, Bulloch, Camden, Candler, Charlton, Chatham, Effingham, Evans, Glynn, Jeff Davis, Liberty, Long, McIntosh, Montgomery, Pierce, Screven, Tattnall, Toombs, Ware, Wayne

Amerigroup Peach State Health Plan WellCare

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
Peach State Health Plan WellCare

of Georgia. Inc.

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

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