CARE-M
Coalition to Assure Redesign Effectiveness for Medicaid (CARE-M)
The Department of Community Health has released their plan for the Medicaid redesign.
On Friday, July 13, the Georgia Department of Community Health (DCH) announced plans for next steps in the “Medicaid Redesign.” Over the past several months, DCH has convened task forces comprised of stakeholders and advocates to formally provide input into this process. In its press release, DCH said:
“Today, the Georgia Department of Community Health (DCH) announced that it 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.”
Click here for the Redesign Announcement from DCH.
Click here for the Letter sent to Redesign Task Force members.
Foster Care and Managed Care:
In July, DCH announced its intention to move forward with bringing the entire foster care population under one CMO. While this process will take some time to orchestrate, conversations have been happening between sister agencies and between and among advocacy organizations. In a task force meeting on Monday, September 24, the following documents were shared with the Children and Families Task Force and DCH:
DCH Children and Families Task Force meeting notes
CARE-M letter to Dr. Dubberly regarding foster care and CMOs
CARE-M recommendations on the inclusion of foster care within CMOs
Mark Washington’s Texas site visit to their STAR Health Program
The Pediatric Health Care Improvement Coalition’s strategy recommendations
Navigant: Foster care state survey
The CARE-M Coalition has released recommendations for the Medicaid redesign.
The recommendations are available for download here.
The letter from CARE-M to the Department of Community Health is available for download here.
The letter from the Office of the State Long-Term Care Ombudsman is available here.
A listing of all organizations signing onto the CARE-M recommendations is available for download here.
Several advocate groups across the state have a vested interest in the ultimate redesign of Georgia’s Medicaid and PeachCare systems. Many of these groups have been following DCH and Navigant’s progress and have drafted recommendations and policy papers on the topic.
ABD (Aged, Blind, and Disabled) Carve-Out Options
Atlanta Legal Aid Society Comments
CMS Managed Care National Council on Disability Recommendations
Coalition Comments on Medicaid Redesign
Georgia Association of Community Service Boards Navigant Feedback
Georgia Association of Home and Services for Children
Georgia Breast Cancer Coalition Recommendations
Georgia Council on Aging Comments
Georgia Council on Developmental Disabilities of Arc of Georgia Letter to DCH
Georgia Dental Association Comments
Georgia Hospital Association Comments
Georgia Hospital Association: Georgia Families Program Evaluation and Recommendations
Georgia Hospital Association Letter
HCBS Visiting Nurse Health System Comments
Mental Health America of Georgia Letter
State Long-Term Care Ombudsman
Throughout the redesign process, CARE-M has been meeting Care Management Organizations (CMOs) to learn how, if awarded the contract, they would address the specific needs of various populations. Click here for a list of contact information for the individuals representing these companies.
Media Coverage on Medicaid Redesign
State defers plan to restructure Medicaid
Georgia Health News | July 13, 2012
State could consider a hybrid approach to caring for aged, blind, disabled Medicaid recipients
WABE | June 5, 2012
New plan for Medicaid is weeks away
Georgia Health News | June 4, 2012
Medicaid more than medical aid
Atlanta Journal-Constitution | June 4, 2012
Reshaping Medicaid care to affect many
Atlanta Journal-Constitution | June 3, 2012
State faces risk in Medicaid managed care switch
Georgia Health News | May 30, 2012
Progress on mental health, but gaps remain
Georgia Health News | May 18, 2012
Medicaid Managed Care Across the Country
NATIONAL COUNCIL ON AGING:
Managed Long-Term Services and Supports: Overview of Key Issues and Guiding Principles
KANSAS:
KanCare: Key Elements of the Medicaid Managed Care Proposal
Summary of KanCare Section 1115 Waiver Application
FLORIDA:
Guiding Principles for Florida Medicaid Reform
Florida CHAIN 2011 Shared Medicaid Agenda
Jessie Ball duPont Fund Paper: Proposed Medicaid Long-Term Care Changes Raise Host of Questions About Impact
OREGON:
Oregon Communities Jump into Health Care Reform by Figuring out Coordinated Care Organizations
Medicaid Tracking and Comparison Tools
Cornell University: Disability Statistics:
Kaiser State Health Facts
Kaiser State Health Facts: Georgia Profile
Key Trends in Medicaid
Emerging Medicaid Accountable Care Organizations: The Role of Managed Care
An Overview of Recent Section 1115 Medicaid Demonstration Waiver Activity
Decoding Medicaid Care Delivery and Financing Models: A Glossary of Widely Used Terms
