Until recently, most medical home initiatives in the State of Georgia were supported through private partnerships. In 2010 the Georgia Academy of Family Physicians launched the Georgia PCMH University to support primary care practices transforming to medical homes. Soon private payers pledged their support to pay for PCMH care including Amerigroup, Wellcare, Cigna and BCBS Georgia. In September 2013, the Georgia Department of Community Health (DCH) Division of Medical Assistance (administrator for Georgia Medicaid) issued an bid for a contractor to implement a Medical Coordination Program for Medicaid members. The objectives for the program are to:

  • Provide person-centered Medical Coordination for all eligible Medicaid members
  • Provide Intensive Medical Coordination services for targeted high-risk, impactable populations
  • Provide a Medical Home to coordinate and manage care for participants receiving Intensive Medical Coordination Services
  • Provide Care Coordinators to assist eligible members with obtaining needed medical services

Implementation of the Medical Coordination Program is anticipated for November 2014.

Primary Care Innovations and PCMH Activity

Dual Eligible 2703 SPA CPC CPC+ PCMH QHP PCMH Legislation Private Payer

Private Payer Programs

State Facts:

Uninsured Population:
Total Medicaid Spending FY 2013: 
$9.0 Billion 
Overweight/Obese Adults:
Poor Mental Health among Adults: 
Medicaid Expansion: 

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