Covering Kids and Families Collaborative Georgia

Project Description Covering Kids and Families State and Local Pilots have held focus groups around the state with local Department of Family and Children Services (DFCS) staff to identify areas of concern. Covering Kids and Families State and Local Pilots have held focus groups around the state with local Department of Family and Children Services (DFCS) staff to identify areas of concern. Areas of concern included transition from Medicaid to PeachCare for Kids and eligibility for newborns. Areas of concern included transition from Medicaid to PeachCare for Kids and eligibility for newborns. A local DFCS office (Columbia County) was identified as a testing area for this project. A local DFCS office (Columbia County) was identified as a testing area for this project.

Goal One Improve the transition from Medicaid to PeachCare for Kids Improve the transition from Medicaid to PeachCare for Kids In Georgia PeachCare for Kids is handled by a third party administrator and Medicaid is handled by local offices of the Department of Family and Children Services In Georgia PeachCare for Kids is handled by a third party administrator and Medicaid is handled by local offices of the Department of Family and Children Services Our initial focus will be on cases ineligible for Medicaid due to income Our initial focus will be on cases ineligible for Medicaid due to income

Aim Statement To increase by __% the number of families approved and decrease by __% (or x days) the amount of time it takes for families denied Medicaid due to excess income to become approved for PeachCare for Kids To increase by __% the number of families approved and decrease by __% (or x days) the amount of time it takes for families denied Medicaid due to excess income to become approved for PeachCare for Kids To increase by __% the number of families who are approved and decrease by __% (or x days) the amount of time it takes for families whose income results in the loss of Medicaid to become approved for PeachCare for Kids. To increase by __% the number of families who are approved and decrease by __% (or x days) the amount of time it takes for families whose income results in the loss of Medicaid to become approved for PeachCare for Kids. (Exact percentages will be determined when we complete final analysis of data.)

Goal Two Improve the time it takes to add newborn children to the Medicaid rolls. Improve the time it takes to add newborn children to the Medicaid rolls. Birth hospitals are asked to expedite the process of adding newborns to the rolls. This is not always timely and accurate. Birth hospitals are asked to expedite the process of adding newborns to the rolls. This is not always timely and accurate. It is the expectation of the caseworker that the family report the birth of the newborn as soon as possible. This expectation of often unclear to families, reporting is not always completed timely and families assume hospital paperwork covers this reporting requirement. It is the expectation of the caseworker that the family report the birth of the newborn as soon as possible. This expectation of often unclear to families, reporting is not always completed timely and families assume hospital paperwork covers this reporting requirement.

Aim Statement To increase by __ % the number of newborns who are added to the Medicaid files prior to leaving the birthing hospital. To increase by __ % the number of newborns who are added to the Medicaid files prior to leaving the birthing hospital. To increase by __% the number of families who are reporting the birth of the newborn to the caseworker within the first week of life. To increase by __% the number of families who are reporting the birth of the newborn to the caseworker within the first week of life. (Exact percentages will be determined when we complete final analysis of data.)

Goal Three Improve the number of eligible children turning one year of age who remain covered by Medicaid. Improve the number of eligible children turning one year of age who remain covered by Medicaid. At one year, the income limit for eligibility decreases. At one year, the income limit for eligibility decreases. If entering the system as newborns, clients are guaranteed one year of eligibility. If entering the system as newborns, clients are guaranteed one year of eligibility. There are concerns that eligible children are falling off the rolls when they reach age one. There are concerns that eligible children are falling off the rolls when they reach age one.

Aim Statement Increase by __ % the number of children turning one year of age whose Medicaid case remains active Increase by __ % the number of children turning one year of age whose Medicaid case remains active Increase by __ % the number of families who respond to the one year review after a year of guaranteed coverage and no contact. Increase by __ % the number of families who respond to the one year review after a year of guaranteed coverage and no contact. (Exact percentages will be determined when we complete final analysis of data.)

Denials By Reason

Closed At Renewal

Closures By Reason