3 insurers file protests on Medicaid CMO contracts

[private]Three health insurance companies that lost out in last month’s bidding on the state’s Medicaid managed care contracts have filed protests with the Department of Administrative Services (DOAS).

AmeriChoice (which is part of United HealthCare), Humana Inc., and AmeriHealth Caritas are protesting the award of the Medicaid contracts, which are among state government’s largest and are worth an estimated $4 billion.

The Department of Community Health (DCH) said last month that Amerigroup Georgia, Peach State Health Plan, and WellCare of Georgia would continue handling Medicaid patients under the new contract that takes effect July 1, 2016. A fourth provider, CareSource Georgia, was also selected.

Corporate protests over the awarding of government contracts are not unusual and there is an internal review process that will be followed at DOAS.

“We go through it and review it, and then we rule on the protests,” said Zach Johnson of DOAS.

© 2015 by The Georgia Report


Tags: DCH , DOAS , Medicaid contracts , protests