Medicaid & CHIP Redesign Moves Forward With Implementing Key Recommendations

Special to the Daily World
The Georgia Department of Community Health (DCH) will move forward with
implementing key recommendations from its Medicaid and CHIP (Children’s
Health Insurance Program) Redesign task forces and workgroups. It will
not, however, pursue wholesale restructuring of Georgia’s Medicaid
program at this time because of increasing uncertainty at the federal
level.

The department will continue using a Care Management Organization (CMO)
to service the Low-Income Medicaid and PeachCare for Kids(r) populations
in a full risk-based managed care environment. The department will work
to improve the current program and incorporate many of the excellent
ideas received from stakeholders. The Aged, Blind and Disabled
populations will continue with their current fee-for-service coverage.

DCH will also transition foster children to a single-designated CMO to
achieve greater continuity of care for this special population.

In addition to this initiative, the department will continue to use
information it gains from the redesign process. For example, the
department plans to improve Medicaid care by encouraging movement toward
Patient-centered Medical Homes. This means that members will be
encouraged to use their primary care physicians for health care
services.

For more information about the Georgia Department of Community Health,
visit www.dch.georgia.gov.

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