Presentation on theme: "1 Amerigroup Georgia Children’s Mental Health Services Presented to: House Children’s Mental Health Study Committee Presented by: Earlie Rockette, Regional."— Presentation transcript:
1 Amerigroup Georgia Children’s Mental Health Services Presented to: House Children’s Mental Health Study Committee Presented by: Earlie Rockette, Regional Vice President, Special Programs
Amerigroup Georgia 2 Our Team - 336 associates across 4 locations Atlanta – Augusta – Savannah – Columbus Geography 159 counties (108 rural/51 urban) - 6 Medicaid regions Atlanta - June 2006 East/North – September 2006 Southeast – October 2006 Central & Southwest – February, 2012 Membership: 373,962 81.36% under 19 years of age - Average age: 12 1,100+ deliveries on average per month Products Temporary Assistance for Needy Families (TANF) Children’s Health Insurance Program (CHIP) Planning for Healthy Babies (P4HB) Foster Care (GAFC)
Amerigroup Georgia 3 Medicaid enrollees are sicker and have more disabilities than most other populations. Source: Kaiser Family Foundation, “Medicaid Enrollees Are Sicker and More Disabled Than the Privately Insured.” (2004-2006).
Innovative Behavioral Health Programs 4 1.Behavioral Health Workgroup and Integration Programs Primary Goals: Ensure quality access to care Integration of behavioral and physical health services 2. Psychotropic Medication Coaches Program Primary Goal: Improve medication therapy outcomes for children on behavioral health agents 3.Complex Case Management/Care Coordination for Children with Behavioral health Challenges
Innovative Behavioral Health Programs (cont.) 5 4. Expanded BH Provider network (LPC, LCSW, LMFP, Psychologist) 5. $5.8M CMS Innovation Grant: COACHES 6.Amerigroup Provider 360 (member health profile) 7. Telehealth with Georgia Partnership for Telehealth (BH highest users) 8. Creative Community Collaborations Care Management Entities Pathway to Permanency Peer and Family Support Organizations Together Georgia
Amerigroup’s Children Mental Health Data 6 Total Enrollment as of October 2015 (age <21) Overall total: 373,962 GF 360: 23, 000+
About Our Health Care Management 7 Primary care is a central and coordinating component Every member chooses (or is assigned if needed) a Primary Care Provider (PCP) and is then notified of that PCP by mail and by telephone. PCD available to all GF 360 members and all members in early 2016 Support of 1 st NCQA BH Specialty Practice in the Nation (Tentative Nov. 2015 – Georgia Hope) Every member receives reminders to access preventive care Members are contacted after frequent emergency department use, especially for minor conditions Behavioral Health Crisis Line 24/7 Process Improvement Program focused on ADHD/Antidepressants Clinical Practice Guideline Monitoring (ADHD)