Georgia Families Blog

December 14, 2009: Some Medicaid members cannot join health plans

Group of Medicaid members. Most Medicaid and all PeachCare for Kids members must enroll in a Georgia Families health plan to get their Medicaid health care services.

Georgia Families is only for members already enrolled in Medicaid or PeachCare for Kids. If you want to apply for Medicaid or PeachCare for Kids, call or visit your county DFCS (Department of Family and Children Services Office) office.

Almost everyone in Medicaid has to join Georgia Healthy Families. But some people cannot join a health plan, and will continue to get health services the way they do now.

Here is a list of people who cannot join a health plan:

People who need special medical services or live in an institution
People in Medicaid who qualify for Medicare
People in Medicaid who are part of an Indian Tribe that the government approves
People who qualify for Supplemental Security Income (SSI)
Children eighteen (18) years of age or younger who are in foster care or another out-of-state home
Children (18) years of age or younger who are getting foster care or adoption assistance under Title IV-E of the Social Security Administration
Children in the Children’s Medical Services Program
Children in the Georgia Pediatric Program
Children with care coordination by the MATCH program (Multi-Agency Team for Children)
People in Long Term Care
People in the SOURCE program (Service Options Using Resources in Community
Environments)
People in Pre-Admission Screening and Resident Review
People who are getting Hospice care

If you think you may not have to join a health plan, call our call center and we'll answer your questions.

Do you have anything that you'd like to see us write about in this blog? Let us know! Email us at blog@georgia-families.com. Remember that email is not private. Do not send email with personal information in it such as your Medicaid ID number, PeachCare for Kids ID number, or Social Security number.

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