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Medicaid to Improve Continuity of Care for Foster Children and Other Vulnerable Populations

Medicaid to Improve Continuity of Care for Foster Children and Other Vulnerable Populations

July 22, 2013

Children and Youth Will Transition to a Single Statewide CMO

ATLANTA – As part of the redesign of the Georgia Medicaid Program, the Department of Community Health (DCH) will transition approximately 27,000 children in foster care and adoption assistance, as well as select youth in the juvenile justice system, to a single care management organization (CMO) for their health care coverage. The transition is effective on January 1, 2014. Moving these populations to a designated CMO will result in improved care coordination, continuity of care and better health outcomes for the enrollees. DCH has selected Amerigroup Community Care as the designated CMO.

DCH has been working with the Centers for Medicare & Medicaid Services (CMS) to determine the appropriate federal authority to achieve the transition of these populations. CMS has determined that the department can submit a State Plan Amendment to address the inclusion of the members in foster care, adoption assistance and juvenile justice into the single CMO.

DCH has posted a public feedback survey and conducted two public meetings to gather input and feedback from stakeholders through July 14, 2013, which will be used to provide additional information and guidance as the program is further developed and implemented.

New DCH Commissioner Clyde L. Reese III, Esq. has been involved in the plans to move children in foster care and adoption assistance in his role as former commissioner of the Georgia Department of Human Services (DHS).

“This is an exciting time for all our child-serving agencies in Georgia and for the care of these young people who are often in transient situations,” Reese said. “Having been part of this process since the redesign began, I can certainly see the benefits to moving these populations into a single CMO.”

In an exceptional collaboration, seven state child-serving agencies have come together for this transition – the Department of Community Health, the Department of Human Services, the Department of Behavioral Health and Developmental Disabilities, the Department of Public Health, the Department of Juvenile Justice, the Department of Education, and the Department of Early Care and Learning. These state agencies bring a focused commitment to the transition and added emphasis on outreach, education and communication with key stakeholders:  members, caregivers, foster parents, adoptive parents and providers.

About the Georgia Department of Community Health

Through effective planning, purchasing and oversight, the Georgia Department of Community Health (DCH) provides access to affordable, quality health care to millions of Georgians, including some of the state’s uninsured and most vulnerable populations.

DCH is responsible for Medicaid and PeachCare for Kids,® the State Health Benefit Plan, Healthcare Facility Regulation and Health Information Technology in Georgia.

Clyde L. Reese III, Esq. serves as Commissioner for the Georgia Department of Community Health.

To learn more about DCH and its dedication to A Healthy Georgia, visit www.dch.georgia.gov.

                                                                 

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Contact Information: 
Pamela A. Keene