Peach State Health Plan's $27.7 Million Initiative Enhances Medicaid Member Support and Care Quality

In a significant move towards empowering its members, Peach State Health Plan (PSHP) has announced a landmark $27.7 million investment aimed at expanding Medicaid benefits from 2022 to 2024. Known as Value-Added Benefits (VABs), this initiative includes a variety of programs and activities that are specifically designed to support healthy behaviors, improve access to healthcare, and strengthen the care experience for Medicaid recipients. This investment reaffirms PSHP's commitment to its vulnerable members, ensuring that they have access to necessary resources for their health and wellness.

Clyde White, President and CEO of Peach State Health Plan, emphasized the organization's dedication to the communities they serve, stating, "Our mission is rooted in supporting the communities we serve. This investment is another way we are delivering on that promise, providing our members with resources that go beyond basic healthcare so they can live healthier lives."

In the last three years, about 20% of PSHP's total expenditures on VABs, amounting to around $5.4 million, has been directed towards vision care, highlighting the importance of eye health for their members. Additional investments included $5 million earmarked for the My Health Pays (Wellness Works) program, $4.3 million for Over-the-Counter (OTC) items, and $3.4 million specifically for dental care.

PSHP’s current offerings reflect a holistic approach to healthcare that tackles not just medical needs, but also social determinants of health, which significantly impact overall wellbeing. Some of the benefits set to be provided in their 2025-2026 cycle include:

  • - Emergency Childcare Support: Eligible members will have access to up to six months of emergency childcare through Quality Care for Children to help with urgent needs like job interviews or medical appointments.

  • - 24/7 Mental Health Support: Thanks to a collaboration with Pyx Health, members will be able to receive emotional support and mental health check-ins anytime, offering essential tools for mental wellness.

  • - Over-the-Counter Benefit: Each year, members can receive up to $240 worth of OTC items, allowing them to acquire essential health products, such as cold medications and dental hygiene products, at no cost. This initiative helps members maintain their health while managing their household budgets effectively.

  • - School-Break Grocery Allowance: PSHP will provide a prepaid card to eligible families to help cover the cost of healthy groceries during school breaks, ensuring that children have access to nutritious food even when school meals are not available.

  • - Vision Benefit: Members will be entitled to one free annual eye exam along with $100 towards glasses, contacts, or refunds on broken frames, demonstrating a significant investment in eye health.

  • - Work-Ready Scholarships: Available for eligible members, these scholarships will support training and certification programs through Goodwill Industries aimed at preparing individuals for a career, ultimately enhancing employability and job readiness.

"At Peach State Health Plan, we are committed to going beyond traditional healthcare by addressing the everyday needs of our members," noted Tara Freeney, the Senior Director of Commercial Operations. "The investment in Value-Added Benefits reflects a dedication to improving quality of life across Georgia, ensuring we meet our members wherever they are on their health journeys."

PSHP reviews and updates its Value-Added Benefits portfolio annually, ready for a new rollout on July 1 each year. Interested members can view a comprehensive list of benefits by visiting this link.

About Peach State Health Plan: Peach State Health Plan operates as a care management organization focusing on the healthcare needs of Georgians. It provides health insurance solutions under Medicaid and PeachCare for Kids®, alongside supporting uninsured individuals via Ambetter and Medicare Advantage plans. PSHP is a subsidiary of Centene, a prominent healthcare entity dedicated to facilitating healthier lives for people across the nation. For more details, visit www.pshpgeorgia.com.

Topics Health)

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