Medicaid managed care contracts are upheld

[private]Challenges to Georgia’s lucrative Medicaid contracts have been turned down by the Department of Administrative Services (DOAS), clearing the way for the winning bidders to provide managed care services to Medicaid recipients.

The Department of Community Health (DCH) announced in September that Amerigroup Georgia, Peach State Health Plan, and WellCare of Georgia would continue handling Medicaid claims under the new contracts. A fourth provider, CareSource Georgia, was also selected as a care management provider.

Humana, AmeriChoice (part of UnitedHealthcare), and AmeriHealth Caritas filed protests to the contract awards, however, contending there were errors in the selection process. That triggered a lengthy review process by DOAS.

Lisa Eason, the deputy commissioner of DOAS, said in a March 1 letter the protests had been denied.

“As neither UnitedHealthcare nor AmeriHealth present any evidence that evaluation committee members were removed for an illegitimate or improper purpose, nor do they offer convincing evidence of an unfair evaluation process or that the reduction was material to the evaluation process or outcome of the solicitation, I find no merit in their arguments,” Eason wrote.

The new contracts had orginally been scheduled to take effect on July 1, but DCH Commissioner Clyde Reese said several weeks ago the implementation date would be moved back to Jan. 1, 2017.

© 2016 by The Georgia Report


Tags: DCH , DOAS , Medicaid contracts