Medicaid and State Health Benefit Plan
As part of OHSC's role in coordinating the healthcare delivery system in the State, OHSC reviews existing policies, pilot programs, rules, regulations, and contracts, specifically those related to the State's Medicaid program, PeachCare for Kids, and the State Health Benefit Plan.
Recommendations to the Department of Community Health on State Health Benefit Plan (SHBP) contracts:
Recommendations to the Department of Community Health on Medicaid managed care contracts:
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Full
Recommendations Report
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Executive
Summary for Georgia Families Contract Recommendations Report
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Executive
Summary for Georgia Families 360 Contract Recommendations Report
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Contract
Crosswalk: Georgia Families 360 and Texas STAR Health Contracts
Recommendations for the Medicaid Delivery System for Children in State Custody including those with Complex Needs Ages 18-21:
Recommendations to the Department of Community Health on the implementation of the Georgia Skilled Nursing Facility (SNF) Quality Incentive Payment Program:
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Report
1: Assessment and Recommendations for Inclusion of Quality Measures
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Report
2: Recommendations for Bonus Payment Allocation Process, the Implementation of a Quality Incentive Program Formula, and an Analysis of the Existing Quality Incentive Payment Program