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Planning for Healthy Babies®

We’ve served Georgia Families members with Planning for Healthy Babies® (P4HB) benefits since 2011. P4HB members get family planning, interpregnancy care and/or resource mother outreach services.

Benefits Overview
Family planning is important. That’s why Planning for Healthy Babies® members get important care and services from Amerigroup like:
  • Family planning initial or annual exams
  • Follow-up family planning visit
  • Pap smears and pelvic exams
  • Birth control services and supplies
  • Family planning lab tests
  • Emergency and urgent care services
  • Sterilization/getting your fallopian tubes tied
  • Multivitamins with folic acid or folic acid vitamins
  • Certain shots for members 18-20

Interpregnancy Care members also get:

  • Certain dental services
  • Medicines
  • Case management and Resource Mother Outreach

Resource Mother Outreach members get:

  • Case management
  • Referral services for emergency situations
  • Education classes for mothers of very low birth weight babies
  • Help with:
    • Getting medicine
    • Connecting with social services support
    • Finding and using community resources

Visit the website to learn more about P4HB benefits.

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Who's Eligible?

P4HB Family Planning is for uninsured women 18-44 who aren’t eligible for Medicaid or CHIP and:

  • Have family income less than or up to 200 percent of the Federal Poverty Level (FPL) or
  • Are losing Medicaid pregnancy coverage 60 days after they deliver their baby

P4HB Interpregnancy Care is for uninsured women 18-44 who aren’t eligible for Medicaid or CHIP and have:

  • Family income less than or up to 200 percent of the Federal Poverty Level (FPL)
  • Delivered a very low birth weight baby on or after January 1, 2011

P4HB Resource Mother Outreach is for women age 18-44 who have delivered a baby with very low birth weight on or after January 1, 2011 and qualify under the Georgia Medicaid state plan for:

  • Low-income Medicaid or
  • Aged, Blind and Disabled (ABD) assistance
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Our Case Management and Care Team

Getting you the right care

The Amerigroup Care Team is made up of health care experts who will help you by:

  • Working with you to make healthy life choices
  • Sharing health tips like how to take care of asthma
  • Helping you take control of your health by completing a health risk screening
  • Making sure you get the most out of your health plan
    • Connecting you to health care programs like disease management

If you’d like a Care Team health care expert to call you:

  • Send an email to the Care Team with:
    • Your phone number
    • The best time to reach you

Or call our:

  • Case Management department at 678-587-4758
  • Georgia Families 360° Intake Line at 1-855-661-2021*

Everything we talk to you about is private.

*This number is for Georgia Families 360° members only.

How to enroll in disease case management

  • Call 1-888-830-4300 (TTY 711) toll free or
  • Send an email. Include your:
    • Full name
    • Amerigroup ID number
    • Date of birth
    • Address
    • Phone number
    • Condition(s) for which you’d like case management services

Your case manager will call you within five days to let you know you’re enrolled. If you don’t get a call, call 1-888-830-4300 (TTY 711) toll free Monday through Friday from 8:30 a.m. to 5:30 p.m. Eastern time. Once you’re enrolled, you can leave private messages for your case manager 24 hours a day.

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Member Handbook

Your member handbook is your go-to guide for health services. It tells you how you can get the most out of your benefits. Read it to find out about:

  • Your benefits
  • Special programs and services like health education classes, case management and disease management
  • Your rights and responsibilities as an Amerigroup member
  • How to choose a primary care provider
  • How to get help if your doctor’s office is closed
  • Recertifying your benefits
  • How to reach Amerigroup Member Services if you have questions

The electronic version of your member handbook is searchable. Use "Ctrl + F" to search for keywords. If you’re using a Mac, use "Command + F."

Need your handbook mailed to you?

Call Member Services toll free at 1-800-600-4441 (TTY 711).

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Learn when you need a referral or preapproval

A referral is when your primary care provider (PCP) sends you to another provider for care. This care is often from a specialist. As an Amerigroup member, you don’t need a referral to see a provider who’s not your PCP as long as the provider works with your plan.

What is precertification?

Precertification is needed for:

  • Inpatient admissions
  • Certain behavioral health services like skills training
  • Psychological testing
  • Certain prescriptions
  • Rehabilitation therapies (physical, occupational, respiratory, speech)
  • Care from a provider who doesn’t work with your plan

As a member, you don’t make the request. Your PCP, specialist or other provider should send in the request. If your case doesn’t meet the rules for medically needed, we’ll send you a letter. The letter will tell you we could not OK the service and why.

Other benefit details can be found in your member handbook. If you have questions or would like a copy of your member handbook mailed to you, call Member Services at 1-800-600-4441 (TTY 711).

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