Continuous Program Improvement (CPI) will work with policy to identify areas of improvement, engage stakeholders in administrative simplification, execute on and facilitate completion of program improvement efforts.
CPI Vision, Mission, Purpose
Vision
Inspire continuous improvement by challenging the status quo
Mission
Evaluate processes, collect and assess information, and incorporate feedback to collaboratively identify and implement long term solutions
Purpose
Relieve administrative burdens for CPI stakeholders and the member and provider communities they serve
Continuous Program Improvement Workgroup and Initiatives
| Activity | Objective | Completion Date |
|---|---|---|
| CPI Healthcare Accessibility – Lifeline | Institutionalize the process of obtaining lifeline phones into the Medicaid program | On-going. Target goal of 3500 new enrollments by June 2023 |
| CPI Healthcare Accessibility – Diabetes Awareness Event | Provide resources, tools and, education to the growing population of diabetic pregnant women | Nov-23 |
| CPI Provider Enrollment – Delegated Roster | Implement a new delegated provider roster between the CMOs and the large health systems | Apr-23 |
| CPI Provider Enrollment – Dental Provider Enrollment Increase | Increase provider enrollment for dental providers across Georgia | TBD |
| CPI Prior Authorization – Consolidated PA Portal | Consolidate the PA process for behavioral health and psychiatrics residential facilities | Jan-23 |
| CPI Claims and Billing - Streamlined Claims Process | Streamline claims process to ensure each CMO has the same options and processes available | Jun-23 |
| CPI Claims and Billing - Dental PA Webinar | Offer resources with up-to-date information on when and how to submit dental PA claims. | TBD |