Special Children’s Programs

Not all members of Medicaid can join the Georgia Families program. These members will continue to get health services the way they do now.

Members of the following special children’s program cannot become members of Georgia Families at this time:

  • GAPP – The Georgia Pediatric Program (GAPP) provides services to medically fragile children with multiple system diagnoses. Services are provided in their homes and communities and in a ‘medical’ daycare setting as an alternative to placing children in a nursing care facility.
  • MATCH – The Multi-Agency Team for Children (MATCH) provides funding for children in the State of Georgia with severe emotional and/or behavioral disturbances who need mental health treatment in a residential setting.
  • CMS – The Children’s Medical Services (CMS) Program provides a complete system of healthcare for children and youth with eligible chronic medical conditions, from birth to twenty-one years of age.

Your Medicaid caseworker will decide if your child cannot join Georgia Families because he or she is in one of these special programs. So, if you have any questions, please call or visit your county DFCS (Department of Family and Children Services Office) office.

Do you still have questions about our program? Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

What is WIC?

The Women, Infants, and Children (WIC) Supplemental Nutrition Program is a federally-funded health and nutrition program that provides low-income pregnant or postpartum women, infants, and children ages 5 and under some of the following services:

  • Growth monitoring
  • Nutrition education and counseling to help you and your family eat well and be healthy
  • Breastfeeding promotion and support
  • Food vouchers redeemable at participating grocery stores for infant formula, milk, eggs, cheese, cereal, juices, peanut butter and other nutritious foods.

The mission of WIC is to safeguard the health of low-income pregnant women, breastfeeding mothers, infants, and children who are nutritionally and medically at risk.  In turn, studies have linked WIC services with better maternal and infant health results.

 

So, if you are pregnant, or just had a child and want to learn more about the WIC (Women, Infants, and Children) Nutrition Program, call 1-800-228-9173 for a location near you.

 

Do you still have questions about WIC? Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

What is EPSDT?

What is EPSDT?

The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) is a federal benefit which allows your child to have services that: keep them healthy; identify signs of poor health; find the causes of poor health; and get treatment for those causes.  It is available to Medicaid members from birth up to twenty-one (21) years of age and PeachCare for Kids members from birth, up to nineteen (19) years of age.

Parents of children eligible for the EPSDT benefit, which is also known as Health Checks, need to take their children to their personal doctor regularly.  These checkups begin right after birth and continue as your child grows.

More checkups are needed during the first year of life than at any other time.  This is because your child is growing and changing so much during their first year of life.

Starting from three years old, take your child for regular checkups every year.  A good way to remember the checkups each year is to schedule the checkup during your child’s birthday month.  Think about this checkup as a birthday gift to your child.  If your child’s doctor finds a problem, the EPSDT benefit allows for tests and treatments to fix the problem.

 

Recommended Ages for Health Check Preventive Visits

Your child should have a checkup with their doctor:

  • Before they leave the hospital after being born. They should get their first shots while still in the hospital.
  • Right after you get home from the doctor when your baby is 3 – 5 days old. Your doctor needs to see how you and your baby are doing now that you are at home.
  • Just before your baby is 1 month old.
  • When your baby turns 2 months old. Your baby will get shots at this visit.
  • When your baby turns 4 months old. Your baby will get shots at this visit.
  • When your baby is 6 months old. Your baby will get shots at this visit too.
  • At 9 months old. Your doctor will check your baby to see if she/he is growing up properly.
  • At 12 months old. The doctor will check your baby’s blood to make sure she/he hasn’t eaten anything with lead in it.  Lead tastes sweet and can cause health problems.
  • At 15 and 18 months. Shots and another check to make sure your baby is growing up properly at the 18 month visit.
  • At 24 months. Your child’s blood is checked again for lead.
  • At 30 months. The third check to make sure your child is growing up properly.
  • Every year starting at age 3 through age 20.
  • Shots and other care may be given at any of these visits.

 

Where and How Can Your Child Participate in EPSDT?

Call 1-866-211-0950 if you need help finding a doctor, a health clinic, a dentist or arranging a ride to your appointment.

 

Do you have a blog topic that you would like more information about?  Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

IRS Form 1095-B

Did you know that as a part of the Affordable Care Act, an IRS Form 1095-B will be provided by Georgia Medicaid to all members early next year?

This form is used to report that you had health coverage through Georgia Medicaid during the tax year.  In order to ensure that you receive the form timely, you can consent to have the form delivered to you electronically through the Georgia Medicaid website.  If you choose to receive the form electronically, and you are already registered on the Georgia Medicaid website, please update your email address.  You can provide your consent and review a list of Frequently Asked Questions by going to www.mmis.georgia.gov under the member information tab.

Consenting to electronic delivery will ensure that you receive your form in time to assist you in filing your taxes for the upcoming tax year.

Do you still have questions about this tax form?  Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private.  Do not write comments or send email with personal information in it such as your Social Security or account numbers.

IRS Form 1095-B

Did you know that as a part of the Affordable Care Act, an IRS Form 1095-B will be provided by Georgia Medicaid to all members early next year?

This form is used to report that you had health coverage through Georgia Medicaid during the tax year.  In order to ensure that you receive the form timely, you can consent to have the form delivered to you electronically through the Georgia Medicaid website.  If you choose to receive the form electronically, and you are already registered on the Georgia Medicaid website, please update your email address.  You can provide your consent and review a list of Frequently Asked Questions by going to www.mmis.georgia.gov under the member information tab.

Consenting to electronic delivery will ensure that you receive your form in time to assist you in filing your taxes for the upcoming tax year.

Do you still have questions about this tax form?  Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private.  Do not write comments or send email with personal information in it such as your Social Security or account numbers.

Tips on Keeping Your Child Healthy

We want to help you keep your child healthy and strong!  Below are some great tips for keeping your child fit: 

  • Take your child to the doctor for regular checkups.  Your doctor knows your child best.  The doctor’s office is the best place for your child to receive regular checkups.
  • Keep your appointments.  Call the doctor to cancel if you can’t keep an appointment.
  • Call and schedule rides to your appointments when a ride is needed.
  • Take snacks and books with you to the doctor.  You and your child may have to wait for the appointment.
  • Keep a record of your child’s shots.  You can ask the doctor to give you a copy of the record.
  • Make a list of questions for the doctor before your visit.  Remember to ask the doctor the questions.

 

What to expect when you visit your child’s doctor?

Doctors and nurses will ask your child and you questions about your child’s medical history.  The doctor will check your child to make sure everything is okay and that they are growing properly.  Your child will get shots and the doctor will make sure your child can hear and see properly.

Remember your list of questions that you prepared the day before the checkup?  Ask the doctor all of the questions before your child’s visit is over.  Your doctor will also ask you about taking your child to the dentist for regular checkups.

Doctors and nurses will help you find other services your child needs. Their office staff can even help you to schedule rides and appointments.

 

What’s on your mind? Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

Lost Medicaid or Health Plan ID Cards

It’s very important that each member of Georgia Families take two identification cards with them every time they go to see the doctor:

  1. Your Medicaid/PeachCare for Kids ID Card
  2. Your Health Plan ID Card 

These cards help Medicaid and your health plan keep track of the services provided to you, and your children.  Also, it’s very important that the information on these cards is correct and that you take them with you each and every time.

Did you lose your ID cards?

Well, we here at Georgia Families cannot mail you a Medicaid ID card.  Rather, these cards will be sent to you directly from Medicaid.  So, in order to get more information about replacing a lost Medicaid ID card, please call Medicaid’s Member Services at 1-866-211-0950

Also, if you need to replace your Health Plan ID card, just give your health plan a call and they will send you a new one quickly.  

Do you still have questions about lost cards? Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

Member Surveys

Were you randomly chosen to participate in the survey regarding Georgia Families and your enrollment experience?  If so, please take the time to complete the survey form and return it to us.

We use your feedback to improve our website, enrollment materials, outreach sessions, call center and overall customer satisfaction.  Basically, completing this survey will help us better serve you!

If you get a survey in the mail, complete the form and mail, or fax it back to us! 

There is a postage paid envelope enclosed for your convenience when returning the survey by mail, so there will be no cost to you.  Or, if you would like help filling out the survey, please call us and someone will help you complete the form over the phone.

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Still have questions about Georgia Families?  Visit us on Facebook and Twitter for more information about our program! 

Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

Newborns

Congratulations on your newborn!  Here at Georgia Families we want you and your baby to remain happy and healthy.  This is why it is important for you to choose a health plan that is right for you both from the start.

Some health plans offer extra benefits for new moms!  Some of them are:

  • Special programs like community baby showers
  • Reward cards and incentive programs
  • Discounts for vitamins
  • Baby items like free strollers
  • Breast pumps for nursing

Don’t forget to check to your comparison charts for a complete list of extras services offered by each health plan!

Also, did you know that when your baby is born, the child will automatically be enrolled into your (the baby’s mother’s) health plan starting on the baby’s date of birth? 

You will then have 90 days from the baby’s date of birth to make a one-time change if you choose to.  But on the 91st day, if no changes are made, your child will stay in that health plan until the next year.

If you have more questions about this, please call our call center and speak with one of our counselors!  You can also find more information on Facebook and Twitter.

Do you still have questions about the Georgia Families program? Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

Creating an Online Profile

You can create an online profile to help manage your own Georgia Families’ information.  Members who have an online profile are allowed to:

  • Update their telephone number
  • Update their address information
  • Enroll into a health plan
  • Select a Primary Care Provider (PCP)
  • Transfer health plans
  • Send secure emails to Georgia Families

Now that you know about the advantages of having an online profile, would you like to create one?  It’s easy to do!

  1. Click “Member Log In” on the left side of the homepage.
  2. Enter the member’s Medicaid or PeachCare for Kids I.D. number. (This is the number that begins with 111… or  222…)
  3. Enter the member’s first name.
  4. Enter the member’s last name.
  5. Enter the member’s date of birth. (MM/DD/YYYY)
  6. Enter the last four numbers of the member’s Social Security Number.
  7. Click “Submit”

 

Do you still have questions about creating an online profile? Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

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