DCH Issues Request for Information on State Medicaid Managed Care Program
The Request for Information will allow the state agency to gather strategic industry and public insights for a procurement to improve quality, equity, value and other key pillars for health care programming.
The Georgia Department of Community Health announced today it is issuing a request for information¹ to receive and analyze experiences of Georgia providers, care management organizations, advocates, and others with knowledgeable insights about Georgia’s Medicaid managed care program. Gathering stakeholder knowledge will contribute to the agency’s learnings on what Georgia may need for increasing care access, improving quality, and managing costs in Georgia to assist the agency in planning for a competitive managed care procurement.
For information on the RFI process, or to submit responses, click here.
“We are working toward an optimized Medicaid managed care program that brings added value, quality and access,” says DCH Commissioner Caylee Noggle. “While this request for information is not a formal competitive bidding process, it will go a long way to support our efforts in creating efficiencies and accountability that improve outcomes for our members across Georgia.”
DCH has identified five key pillars for enhancing Georgia’s Medicaid managed care program:
- Quality: Improve quality through enhanced care management and coordination
- Equity: Improve equity in the administration and outcomes for all members and increase cultural competency
- Access and outcomes: Enhance network capacity across the state and prioritize interventions addressing Social Determinants of Health
- Value: Better manage cost of care through innovative models that improve value of care delivery
- Coverage and services: Ensure appropriate coverage of populations and services to improve quality and value, improve behavioral health integration and outcomes, and rationalize approach to pharmacy benefit management
The state's Children's Health Insurance Program (called PeachCare for Kids®), Georgia Families, Georgia Families 360, and Planning for Healthy Babies are part of Georgia's Medicaid managed care program.
¹ This RFI is issued solely for information and planning purposes; it does not constitute a request for proposal, application, proposal abstract, or quotation.