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DCH seeks input on Medicaid, CHIP redesign
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The Georgia Department of Community Health is seeking stakeholder input for its Medicaid and CHIP Redesign initiative.

The Department is the state agency responsible for Medicaid Program and Children’s Health Insurance Program, providing access to medical services and health care coverage for nearly 1.7 million Georgians. The deadline to apply to participate in one of 30 statewide focus groups is Sept. 13.

“The goal of the Medicaid and CHIP Redesign program is to assess our current Medicaid and CHIP systems and to look at new and innovative delivery models that can meet the growing challenges of delivering quality and affordable health care to our Medicaid population,” said DCH Commissioner David A. Cook. “The process will analyze strategic options to manage the financing of Medicaid and PeachCare for Kids, as well as exploring improvements in the delivery of affordable quality health care for the programs.”

DCH has engaged Navigant Consulting Inc., a management consulting firm with significant experience in redesigning state Medicaid programs, to perform the following activities:

• Assess the model and structure of Georgia’s current Medicaid and PeachCare for Kids programs

• Conduct a national environmental scan of Medicaid and Children’s Health Insurance Programs

• Collect and evaluate ideas for innovation as well as the financing and delivery of Medicaid and PeachCare for Kids benefits

• Assess options for any redesign or modification of Georgia’s current program to provide Medicaid and PeachCare for Kids members access to quality care

• Assist in the procurement and im- plementation of the desired solution

“One of the first steps in the process is to garner input from our various stakeholders through these statewide focus groups,” said Jerry Dubberly, chief of Georgia Medicaid. “The information will give us an excellent assessment of all aspects of Medicaid and PeachCare for Kids programs, and it will provide an opportunity for providers, consumers, advocacy groups and vendors to voice their opinions as we move forward.”

Medicaid in Georgia is facing a number of challenges in the coming years under the newly expanded eligibility criteria of the new Health Care Reform law. It is projected that the state’s Medicaid rolls will increase by at least 650,000 between 2014 and 2020. The state estimates that an additional $25 billion in state and federal funding will be needed to cover Medicaid expansion between 2014 and 2020.

The focus group participation application is available online at Click on the “Medicaid Redesign” link on the right-hand side of the page, then click on “Participant Application” to complete the form by Sept. 13.

An online survey that can be accessed through the DCH Web site ( will be available shortly.