Medicaid & CHIP Redesign Moves Forward With Implementing Key Recommendations

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    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 http://www.dch.georgia.gov.

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