31

Jan

2017

CMO Open Enrollment and New CMO Contracts - Georgia Medicaid

Effective: July 1, 2017

Beginning July 1, 2017, the Georgia Families® program will provide members a choice of four Care Management Organizations (CMOs): Amerigroup, CareSource, Peach State Health Plan, and WellCare. 

31

Aug

2016

CVS/Caremark: Amendment to 2016 Caremark Provider Manual - Georgia Addendum to Caremark Provider Agreement

Effective: Immediately

A. In the Georgia Addendum to Caremark Provider Agreement, Georgia Medicaid sub-section of the Provider Manual (beginning on page 97), the following language: "To the extent Provider provides Pharmacy Services to Eligible Persons who are enrollees under the Georgia Medicaid program administered by the Plan Sponsor, Provider agrees to the following:" is deleted in its entirety and replaced with the following: "To the extent Provider provides Pharmacy Services to Eligible Persons who are enrollees under the Georgia Medicaid program administered by a Care Management Organization ("CMO" or "Plan Sponsor"), Provider agrees to the following:" B. In the Georgia Addendum to Caremark Provider Agreement, Georgia Medicaid sub-section of the Provider Manual (beginning on page 97), the following new section is added: 31. "Provider shall comply with DCH lock-in programs applicable to an Eligible Person by referring the Eligible Person to the appropriate pharmacy."