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Frequently Asked Questions

Amerigroup Georgia Families

When did Georgia Families begin?

Georgia Families began in 2006. Amerigroup members living in the Atlanta and Central regions first joined on June 1, 2006. Members living in the North, East, Southeast and Southwest regions first joined on September 1, 2006. In 2012, Amerigroup expanded into the entire state of Georgia.

Who is Amerigroup Community Care?

Amerigroup Community Care is one of the health plans offered to you by Georgia Families. We’ve offered health care benefits to people enrolled in the Georgia Families programs since 2006.

What is Georgia Families for Medicaid and PeachCare for Kids®?

Georgia Families delivers health care services to members of Medicaid and PeachCare for Kids®. Your health care coverage is provided by the Department of Community Health (DCH) and one of the health plans in your region. You’ll still be in Medicaid. Your children will still be in PeachCare for Kids®. Now you’ll get health care services from one of the health plans in your region.

What are the extra benefits I get with Amerigroup?

With us, you get all your regular Medicaid benefits from Georgia Families program, plus:

  • Free, preapproved over-the-counter medicines prescribed by your doctor
  • Free memberships to Boys & Girls Club for kids age 6 to 18 (not including summer camp)
  • Disease management and health education programs that help you manage health conditions
  • And more!

Your primary care provider

Will providers be informed of any changes?

Yes, providers are told about changes. And Amerigroup can answer any of your doctor’s questions.

Is my doctor in the Amerigroup network?

We want you to have a doctor who knows how to give you the right care for your needs. You can see if your PCP works with our plan by using our online provider directory.

Can I change my Amerigroup PCP?

Yes, you can change your PCP at any time. Just log in to the website or you can call Member Services at 1-800-600-4441 (TTY 711). (First time users will need to register.)

What if my doctor doesn’t accept Amerigroup?

Please contact Member Services at 1-800-600-4441 (TTY 711) to see if your doctor is taking part in the program. If not, we have a large group of providers you can choose from.

What if I go to a doctor who doesn’t work with Amerigroup?

If you see a doctor who doesn’t work with Amerigroup, you may have to pay for your health care. Always carry your Medicaid or PeachCare for Kids® card and your Amerigroup card with you. Show the doctor’s office both cards before you see the doctor.

Enrolling and renewing

Am I able to participate in the Georgia Families health care program?

The Georgia Families program is required for PeachCare for Kids® and certain Medicaid members. There are some types of Medicaid that are not in the program. Please call Compass at 1-888-423-4746 to find out your status.

How can I join Amerigroup?

Call 1-888-GA-ENROLL (1-888-423-6765) (TTY 1-877-889-4424) and tell them you want to join Amerigroup.

Where can I find more information?

To enroll in Georgia Families, call 1-888-GA-ENROLL (1-888-423-6765) (TTY 1-877-889-4424) Monday through Friday 7 a.m. to 7 p.m.

To learn more about Medicaid or PeachCare for Kids®:

  • Visit the Department of Family and Children’s Services (DFCS) near you
  • Go to the Georgia Families website
Do I need to do anything once I join?

Make sure Georgia Families and your health plan always have your current address and phone number. If we don’t, you may not get important information about your health care and benefits.

Will my services change?

You’ll still get the same services you got from Medicaid or PeachCare for Kids®. We focus on getting you and your family the right care. Amerigroup provides you and your family with health education. We’ll also invite you and your family to fun health fairs and wellness clinics.

Should I start mailing my PeachCare premium payments to Georgia Families?

No, you’ll still send payments to PeachCare for Kids®. You can pay by phone, online or by mail, or set up payments from your bank or credit card.

Do I get a new ID card when I enroll in Amerigroup?

Yes, you’ll get your new ID card by mail. It will have the name of your provider. You must call your provider when you need health care unless it’s an emergency. Check to make sure the doctor and health plan you choose are on it. Do not throw away your Medicaid or PeachCare card. Bring both cards to the doctor’s office.

What if my coverage is canceled?

Call Compass to find out why your coverage was canceled at 1-877-423-4746.

When is my enrollment anniversary?

Your enrollment anniversary depends on when you first enrolled in Georgia Families. You can call 1-888-GA-ENROLL (1-888-423-6765) (TTY 1-877-889-4424) to find out when you need to re-enroll.

Do I have to do anything at my enrollment anniversary if I want to stay with Amerigroup?

No, you don’t need to take any action to stay with us.

For members in Foster Care, Department of Juvenile Justice and Adoption Assistance

Who is Amerigroup Community Care?

We offer health care benefits to members enrolled in Georgia Families 360°SM and Georgia Families programs throughout the state of Georgia. We help make sure all the systems that support children in the Georgia Families 360°SM program work together by:

  • Training school, court and law enforcement staff
  • Planning creative, convenient access points for members to receive health care service (medical vans, at schools, court systems, etc.)
  • Hosting back-to-school events, town halls and other community events across the state
Why is Amerigroup the only health plan that serves Medicaid members in the Foster Care, Adoption Assistance and Department of Juvenile Justice programs?

The Georgia Department of Community Health chose Amerigroup Community Care as Georgia’s  single care management organization (CMO) in charge of planning care for children in Foster Care, children receiving Adoption Assistance and select youth in the juvenile justice system.

Can I participate in the Georgia Families 360°SM (GF 360) health care program?

The Georgia Families 360°SM program is required for all members in Foster Care, Adoption Assistance and select youth in the Department of Juvenile Justice program. The exceptions are Foster Care and/or Adoption Assistance members under the age of 21 under Title IV-E of the Social Security Act who are enrolled in the Georgia Pediatric Program (GAPP). In addition, any members that live outside the state of Georgia will not be enrolled in the program.

When did Amerigroup begin serving members in Georgia?

Amerigroup began serving Foster Care, Adoption Assistance and Department of Juvenile Justice members in the GF 360°SM program across the state of Georgia on March 3, 2014. We began serving members in the Georgia Families program statewide in Georgia in 2006.

Do I need to do anything once I join?

You don’t need to take any action. As a Georgia Families 360°SM member, you don’t have to re-enroll each year to stay with Amerigroup. Just make sure we always have your current home address, email address and phone number.  If we don’t have your current contact information, you may lose your benefits.

Will my services change?

You’ll still get the same services you received from Medicaid. We focus on getting you the right care. We offer health education and invite you to fun events in your community.

What is an Ombudsman?

An Ombudsman is someone who will listen to any concerns you may have. He or she will speak and act on your behalf to make sure you get all medically necessary covered services.

How can I contact the Amerigroup Ombudsman?

You can reach the Office of the Ombudsman by phone at 1-855-558-1436 (TTY 711) or by email.

What are the benefits of being in the Amerigroup health plan?

We help you get the right services and supports, plus special services just for Amerigroup members. Find out more about benefits.

What is a care coordinator?

A care coordinator is a person who helps make sure all of your health care needs are identified. He or she also helps you find doctors in your area who work with our plan to treat your needs. All Georgia Families 360°SM members get a care coordinator. Your care coordinator will help you:

  • Complete a health risk assessment
  • Talk to you about health goals
  • Monitor your care and progress
  • Review treatment and results
  • Get medical, dental and behavioral health care
  • Make changes to the care you get right now
  • Find services you may need and make a referral
  • Schedule appointments
  • Manage your health benefits
  • Connect you with local resources

If you have questions about care coordination, call the Member Intake Line at 1-855-661-2021 (TTY 711).

What do Adoption Assistance members need to do if they don’t want to be in the Amerigroup GF 360°SM health plan program?

(This applies to Adoption Assistance members only; members in Foster Care and Department of Juvenile Justice are automatically enrolled in Amerigroup.)
If you don’t like something about Amerigroup, please call the Georgia Families 360°SM Member Intake Line at 1-855-661-2021 (TTY 711). We‘ll work with you to try and fix the problem. If you’re still unhappy, you may be able to change to Fee-for-Service Medicaid. You can ask for the change without cause during your first 90 days of enrollment. After 90 days, you can make a change every 12 months during your enrollment anniversary. Please call 1-855-661-2021 (TTY 711) for disenrollment information.

What steps do I take if I want to come back to the Amerigroup Georgia Families 360°SM health plan program?

(This applies to Adoption Assistance members only.)
You can send an email. Tell them you’d like to return to the Amerigroup Georgia Families 360°SM health plan program or you can call our Georgia Families 360°SM Member Intake Line at 1-855-661-2021 (TTY 711).

How can I contact Amerigroup if I have a question?

You can call our Georgia Families 360°SM Member Intake Line at 1-855-661-2021 (TTY 711) 24 hours a day, 7 days a week.

What do I need to do if I have a question for a nurse and it’s late at night?

You can call our 24-hour Nurse HelpLine at 1-855-661-2021 (TTY 711).

When should I use the emergency room (ER)?

Call 911 or go straight to the ER if you have any life-threatening symptoms like:

  • Severe chest pains
  • Problems breathing
  • Severe bleeding or head trauma
  • Loss of consciousness
  • Sudden loss of vision or blurred vision
What is a primary care provider or dentist?

Your primary care provider (PCP) is the main person who gives you health care. Your primary care dentist (PCD) is the main person who gives you dental care.

If I already have a primary care doctor and dentist, can I continue to go to them?

We want you to have a doctor who’ll meet your medical needs. You can find out if your PCP and/or PCD are doctors in our plan by going to our online provider directory.

Can I change my Amerigroup PCP or PCD?

Yes, you can change your PCP at any time. Just log into the website or call Member Services. You can change your PCD at  DentaQuest or by calling 1-800-895-2218 (TTY 711). PCP and PCD changes start the next business day.

Where can I find more information?

To find out more about Georgia Families 360°SM, call the Member Intake Line toll free at 1-855-661-2021 (TTY 711) 24 hours a day, 7 days a week.

For more information on Amerigroup:

Do I get a new ID card when I enroll in Georgia Families 360°SM?

Yes, you’ll get your new ID card in the mail if you’re an Adoption Assistance member. It’ll have the name of your provider. You must call your primary care provider and schedule a visit within 90 days of getting your ID card. Call your primary care provider when you need health care unless it’s an emergency. Check to make sure the doctor and health plan you chose are on it. Don't throw away your Medicaid card. Bring both cards to the doctor’s office. If you’re a Foster Care member, your Division of Family and Children Services caseworker will register you and print your ID card. If you’re a Department of Juvenile Justice (DJJ) member, your DJJ Juvenile Probation/Parole Specialist will print your ID card.

What if my doctor does not accept Georgia Families 360°SM?

Please contact us to see if your doctor is taking part in the program.

What if I go to a doctor who’s not part of the doctors in the Amerigroup plan?

If you see a doctor who isn’t part of the doctors in the Amerigroup plan, you may have to pay for your health care. Always carry your Medicaid card and your Amerigroup card with you. Show the doctor’s office both cards before you see the doctor.

What if my benefits are canceled?

Call 1-855-661-2021 (TTY 711) to find out why your benefits were canceled.

What are the extra benefits I get with Amerigroup?

All your regular Medicaid benefits are included in the Georgia Families 360°SM program, plus:

  • Free, preapproved, over-the-counter medicines prescribed by your doctor
  • Free membership to the Boys & Girls Club for members ages 6 to 18 (not including summer camp)
  • Disease management and health education programs that help you control health conditions
  • And many more

All benefits may not be available for members in the Department of Juvenile Justice program.

Please call the Georgia Families 360°SM Member Intake Line to find out more.

When is my enrollment anniversary?

Your enrollment anniversary depends on when you first enrolled in Georgia Families 360°SM. You can call 1-855-661-2021 (TTY 711) to find out when you were enrolled with Amerigroup in the Georgia Families 360°SM program. Call 1-888-GA-ENROLL (1-888-423-6765) (TTY 1-877-889-4424) to find out when you need to re-enroll.

Do I have to do anything at my enrollment anniversary if I want to stay with Amerigroup?

You don’t have to take any action to stay with Amerigroup if you or the youth remain in the Foster Care, Department of Juvenile Justice or Adoptive Assistance programs.

For more information on Amerigroup:

Call Member Services at 1-800-600-4441 (TTY 711) Monday to Friday 7 a.m. to 7 p.m. Eastern time.