Medicaid provides health coverage to eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements and is jointly funded by states and the federal government. Georgia’s Medicaid program is known as Georgia Families.
Who We Serve
More than 21,000 patients are assigned to Kaiser Permanente in Georgia Families (Medicaid) through contracts with the current three CMOs. We serve FFS pediatrics through the contracts with current CMOs. 85% are children and 15% are adults (as of December 2024).
Participation
Kaiser Permanente subcontracts with all 3 Care Management Organizations (Amerigroup, CareSource, and Peach State) to serve assigned patients. The Care Management Organizations assign pediatric patients to Kaiser Permanente through subcontracts that include both fee-forservice and value-based payments, pay for performance for quality. Assigned patients are in our 32-county footprint encompassing the Atlanta Metro Area and surrounding counties.
Social Health
Many Kaiser Permanente members struggle with inadequate housing, hunger, financial stress, and other circumstances that create barriers to good health, particularly members enrolled in Medicaid. Kaiser Permanente works proactively to identify our members with these and other adverse social needs and to connect them to community-based programs and government assistance programs that can support their well-being.
Social Health Screening and Identification
Kaiser Permanente uses standard social health screening questions and data analytics to identify members vulnerable to food-insecurity, homelessness, financial strain, and other adverse social factors. By expanding social health screenings across an increasing number of clinical settings and member services touchpoints, with a focus on high-risk populations, Kaiser Permanente is steadily increasing the number of members screened for social needs every year. We screened nearly 3 million members for social needs in 2024, including 32% of our Medicaid members. These screenings and other data sources helped us identify over 1 million members with social needs and connect nearly 500,000 members to public benefits and community-based programs that support overall health.
The Kaiser Permanente Community Support Hub™
The Kaiser Permanente Community Support Hub™ is dedicated to helping people meet their basic needs. The Hub operates proactively, using text, email, and phone calls to encourage members to complete social health screenings and to offer help finding and enrolling in community-based resources and government assistance programs that support overall health. The hub also provides on-demand services, including an online directory of resources that anyone can use to search for local programs that help with housing, food, paying utility bills, and more.
Medical Legal Partnerships
Working with local legal aid organizations in our communities, our care teams help patients facing housing-insecurity receive legal help at no cost. These medical-legal partnership programs build the capacity of the legal services sector and increase access to legal services to prevent people and families from losing their homes. This program targets low-income members and patients with housing related legal needs. In 2024, legal consultation was provided to over 1,000 patients across our national footprint.