More than a year after the state launched the Pathways to Coverage program, offering Medicaid in exchange for work or other state-approved activities, advocates say the program is too difficult…
Blog (November 2020)
Month: November 2020
Ramatu lives in Gwinnett County with her four children for whom Medicaid helps to meet their unique health needs. Medicaid provides a lifeline for Ramatu’s family and helps ensure that her children receive the health care they need. According to the Kaiser Family Foundation, 54% of Georgia children with special health care needs are covered by Medicaid.
“Two of my kids are on straight Medicaid because of the severity of their disability. The other two, they are on what is called care services.” –Ramatu
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The ongoing COVID-19 crisis has damaged the mental health of many Georgians and exacerbated the use of alcohol and drugs. Financial stressors, the difficulties of parenting, and almost universal uncertainty brought about by COVID-19 have dramatically increased depression, anxiety, stress, and substance use among Georgians. Some will seek supports and services to manage their health, which may be provided in part by certified peer specialists.
Certified peer specialists (CPS) provide support and education to individuals and families while they navigate mental health and/or substance use recovery supports and services. CPS have played a vital role in Georgia’s mental health and substance use recovery systems for over 20 years.
(more…)During the 2020 Georgia legislative session, House Health & Human Services Chairwoman Sharon Cooper sponsored HB 1114. The bill allows eligible mothers to receive Medicaid coverage for six months after giving birth, up from the current 60-day limit.
Currently pregnant women and new mothers are covered by Medicaid only up to 60 days after their birth or miscarriage. Georgia has very strict Medicaid eligibility rules for Georgia parents outside of this 60-day period and Georgia has not expanded Medicaid to other low-income adults. For these reasons, many mothers who try to apply for Medicaid after the 60-day period are ineligible and become uninsured.
Georgia’s alarming maternal mortality and morbidity outcomes prompted Georgia leaders to examine the problem and propose solutions. State leaders agreed that extending Medicaid coverage from 60-days postpartum to six months for women with incomes at or below 225% of the federal poverty level (FPL) would be a step in the right direction. This move improves access and consistent care during the more of the postpartum period.
Georgia’s Department of Community Health invited public comment on the proposal from October 8, 2020 to November 9, 2020. During this comment period, individuals and organizations were able to provide their input at two public hearings or in writing.
GHF offered its qualified support of the proposal. GHF urged the state to to go further by extending coverage to twelve months. We also recommended an expansion of Medicaid to all low-income adults. Both of these moves would optimize Medicaid’s benefits and access to care for women throughout the postpartum period and beyond. You can read GHF’s full comment letter here.
Both of Governor Kemp’s health care proposals were approved by federal health officials in the last two weeks. Unfortunately, both proposals fall short of the bold, evidence-based action that Georgians need their state leaders to take. These plans may impact you or people you know. While some details of the plans are still being sorted out, we have tried to answer some of your early questions here. As we learn more and these plans roll out, GHF will keep you updated with the information you need to get covered, stay covered, and help your loved ones do the same.
(more…)Despite repeated claims otherwise, Georgia’s health insurance marketplace has proven to be resilient for consumers in our state. GHF examined the data about Georgia’s 2020 marketplace for our annual Getting Georgia Covered report. We found rising enrollment, lower premiums, and increased choices for consumers. This annual release tells the story of how Georgia individuals and families are faring in the health insurance marketplace. Explore the new interactive digital report to find out more about Georgia’s 2020 marketplace, how it differed from previous years, the Georgians who enrolled and costs of plans, and policy opportunities to increase enrollment, ensure access to care, address affordability, and protect consumers.
Yesterday, the Centers for Medicare & Medicaid Services announced the approval of Georgia’s 1332 State Innovation waiver, title “Georgia Access”. Laura Colbert, Executive Director of Georgians for a Healthy Future has issued the following statement:
“Despite repeated attempts, Governor Kemp’s Georgia Access proposal still fails to explain how a shutdown of the most popular and streamlined health insurance enrollment platform in order to move to a decentralized, privatized enrollment system will address the challenges faced by Georgia consumers, especially those who remain uninsured.
(more…)Healthcare.gov is open for business from November 1 to December 15, 2020. Georgians can now shop for comprehensive, affordable health plans and enroll in coverage. Nine out of 10 Georgians qualify for financial help to lower their premiums and other costs! Make sure that you are covered in 2021!
Most Georgians who qualify for health insurance & financial help through the Affordable Care Act (also called “Obamacare”) are still uninsured. If you or people you know need more information about how health insurance works, how to enroll in coverage, or what to do after you have signed up, we have you covered! Check out and share these tools so you and your networks can get covered and stay covered:
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