HomeNewsGeorgia seeks input on new Medicaid contracts

Georgia seeks input on new Medicaid contracts

Author

Date

by Rebecca Grapevine | Jun 13, 2022 | Capitol Beat News Service

ATLANTA – Georgia is seeking input from individuals and organizations about what it should look for when it awards new multibillion-dollar contracts for the state’s Medicaid program. 

The Georgia Department of Community Health’s request for information is the first step in the process of awarding the new health care contracts, which are expected to take effect by July 1, 2024. 

Georgia’s Medicaid program contracts with private health insurers to provide health care services to around 1.7 million Georgians, most of them low-income children and pregnant women. The contracts are worth more than $4 billion annually. 

Georgia is looking at five priority areas when deciding on the new contract holders: health-care quality, equity, access and outcomes, value, and coverage and services. 

The request asks individuals, organizations, and companies to share feedback about the current program’s strengths and weaknesses and suggestions for improving outcomes, respecting linguistic and cultural needs, serving rural Georgia, and many other topics. 

Responses are due by 2 p.m. June 24.. Individuals and organizations should email their responses to [email protected]

Under the Medicaid managed care system, states pay companies a per-member, per-month rate to provide health care to members. The contracts are highly sought after by insurance providers. 

“The business of Medicaid managed care involves billions of dollars, so the stakes are very high in the competition for contracts with state Medicaid agencies,” according to a 2020 Robert Wood Johnson Foundation (RWJF) report

Companies that lose out on state contracts frequently sue, claiming violations of procurement rules and demanding do-overs of the process. Such protests prompted three rounds of rebidding in Kentucky and Pennsylvania

The contracting process presents states with a unique opportunity to implement policy changes and improve outcomes, according to the RWJF report. 

The state’s new mental health services legislation, House Bill 1013, will require Medicaid insurers to repay the state if they don’t spend at least 85% of their funds on patient care – a requirement in most other states with Medicaid managed care. 

The new mental health bill also requires DCH to evaluate whether mental and physical health are being treated equally, track complaints about suspected violations of mental health “parity,” and publish information about the findings. 

Gov. Brian Kemp has signed another bill lawmakers passed this year that will require DCH to post more financial data about Medicaid payments, spending, and numbers of primary care providers. That law takes effect July 1.

This story is available through a news partnership with Capitol Beat News Service, a project of the Georgia Press Educational Foundation.

Recent posts

Recent comments

Juliann McCraney on Column: Faith: Ups and downs
Robert Schloesser on Saga with Gold Cross EMS continues
Thomas Yarbrough on Garnett Johnson: In his own words
Tedd Antonacci on OPINION: Letter to the editor
Charmain Brackett on Reoccurring Members
Charmain Brackett on Short Getaways: Edisto Beach
Russell Smeak on Short Getaways: Edisto Beach
Trudy Edwards on Short Getaways: Edisto Beach
Gay Wright on Reoccurring Members
Russell Smeak on Short Getaways: Edisto Beach
Charmain Brackett on Short Getaways: Edisto Beach
Charmain Brackett on Short Getaways: Edisto Beach
Russell Smeak on Short Getaways: Edisto Beach
Thomas Plowden on Short Getaways: Edisto Beach
Charmain Brackett on Man struck by train Thursday
Thomas Yarbrough on Man struck by train Thursday
Tedd Antonacci on Man struck by train Thursday
Dennis Perry on FAITH: Our Only Hope
Robert Turbyfill on Column: Serene18 – take two
Leonard Zimmerman Jr on In The Kitchen With Vera: Oh Honey
Tedd Antonacci on Bomb threat suspect in custody
Frank Bush on FAITH: A Great Lady
Judy Wheeler on FAITH: A Great Lady
Robert Green on Kemp signs tax cut bill
Dan Barnett on FAITH: The Turtle
William Speer on Whither Ukraine?
Sherri Jones Rivers on FAITH: The Turtle
Judy Wheeler on FAITH: The Turtle
Doug Herman on Whither Ukraine?
Phillip Williams on Column: Electing judges
John Mulherin on Column: Electing judges
Sarah Scott on Column: Electing judges
Thomas Yarbrough on XPR Augusta Concerts Canceled
Bill Lesshafft on XPR Augusta Concerts Canceled
Amanda Main on FAITH: The Covid Effect
Tedd Antonacci on XPR Augusta Concerts Canceled
Rev. Bill Harrell on FAITH: The Covid Effect
Jackie VOSS on FAITH: The Covid Effect
Penny Danner on FAITH: The Covid Effect
Rabbi David Sirull on FAITH: The Covid Effect
Elizabeth Ristroph on Michael Meyers: The Law Allows It
Phillip Williams on Michael Meyers: The Law Allows It
Debbie Reddin Van Tuyll on For America, a free press is not optional
Kelly Wagner on