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Georgia Families 360° Better Care, Better Futures

Helping MCOs Prepare to Serve Children in Foster Care October 27, 2014

• Program Overview • Planning • Areas for Consideration

Program Design Target Population  All children, youth, and young adults in Foster Care  All children, youth, and young adults receiving Adoption Assistance  Select youth involved in the juvenile justice system who reside in community (non-incarcerated) settings

Georgia Families 360° Goals  Reduce disruption and increase stability  Foster permanency and long term

independence

 Improve health outcomes

Program Design Design Elements  Engagement of a Primary Care Physician and

Primary Dental Provider

 Emphasis on Behavioral Health Care  Focus on Psychotropic Medication Utilization

Planning and Preparation  Highly integrated planning with all child-

serving state agencies a year in advance

 Planning with Amerigroup with state

agencies began 9 months in advance

 Conducted 2 Readiness Reviews 3 months

and 1 month prior to launch respectively

Amerigroup Planning for Implementation



Town Hall Meetings – monthly, statewide, 3 months in advance of launch • Member and Provider



Partnering and Collaboration • Juvenile Court Judges • GA Chapter - American Academy of Pediatrics • GA Dental Association • N. GA System of Care Council

Amerigroup Care Coordination Care Coordination – hub of better care  1 Lead Clinical Manager



 3 Supervisors  49 Care Coordinators 

Licensed Nurses



Licensed Social Workers



Behavioral Health Specialists



Case Managers

 3 Ombudsmen









Tailored to meet situational healthrelated needs Focus on whole health integration Facilitate access to clinical and social services Emphasize prevention and continuity of care Quality outcome driven

Areas for Consideration  Child Welfare Agency/Workforce Buy-In  Education and Training  Prior and ongoing education 

Foster Parents/Child Placement Providers



Service Providers



Child-serving agencies workforce



MCO Staff – Care Coordinators

Areas for Consideration  Georgia Families 360 ONLY contracting  Modified NET processes for Georgia

Families 360˚

 90 Day Transition Period  Placement capacity

Areas for Consideration  Eligibility system challenges  Lag between foster care intake and Plan

enrollment

 Member level health outcomes to drive

improvement for the member

Contact Information Georgia Department of Community Health Marcey Alter [email protected] 404-657-5467