Georgia

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

Public Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program
CHIPRA Quality Demonstration Grant - Georgia	Grant	Georgia, Maryland, Wyoming	CHIPRA Quality Demonstration Grant
Georgia Patient-Centered Medical Home University	Other	Statewide
Medical Coordination Program	Medicaid	Statewide	Medicaid Section 1115 Waiver
Northeast Georgia Health System Medical Neighborhood Demonstration - Georgia	Grant	Gainesville	CMS Health Care Innovation Award - PCMN Demonstration
PTN - QualityImpact/ Consortium for Southeastern Hypertension Control (COSEHC)	Grant	Virginia, North Carolina, South Carolina, Georgia, Florida, Alabama, Louisiana, and Mississippi	Transforming Clinical Practices Initiative (TCPI)

Private Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program
Cigna Collaborative Accountable Care Program- Piedmont Physicians Group	Commercial	Atlanta metro area	Cigna Collaborative Care Program
Enhanced Personal Health Care Program - Georgia	Commercial	Albany, Atlanta, Athens, Augusta, Savannah, Columbus, Gainesville, Rome	Anthem - Enhanced Personal Health Care , Blue Cross Blue Shield Value-Based Care Program
Humana medical home program - Harbin Clinic	Commercial	Rome	Humana Medical Home Program
WellCare Medical Home Enhanced Payment Program	Commercial	Statewide