Amerigroup Georgia provides Medicaid services to over 373,000 members across 159 counties in Georgia, most of whom are children. They have over 300 employees across 4 offices serving 6 Medicaid regions. Their programs include Temporary Assistance for Needy Families, Children's Health Insurance Program, and Foster Care. Amerigroup has innovative behavioral health programs including a behavioral health workgroup, psychotropic medication coaches, and complex case management. They are working to expand telehealth and community partnerships. As of October 2015, they were managing behavioral health for over 23,000 members through their Georgia Families 360 program.

1. 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

2. 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)

3. 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).

4. 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

5. 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

6. Amerigroup’s Children Mental Health Data
6
Total Enrollment as of October 2015 (age <21)
Overall total: 373,962
GF 360: 23, 000+

7. 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 1st 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)

8. Multidisciplinary Team
8