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Georgia Medicaid Managed-Care Plans for Providers

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Providers
Commercial plans
Medicaid enrollment$500
Commercial plans × 3$600
Total $1,100Due at start $550

Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.

Georgia Medicaid is run by the Georgia Department of Community Health. 1,594,095 people were enrolled in its 3 managed-care plans in 2024. To see their patients, a provider enrolls with Georgia Medicaid through the GAMMIS provider portal (Gainwell), then applies to each plan separately.

PlanMembers (2024)ShareParent
Peach State Health Plan729,96245.8%Centene
Amerigroup Community Care485,99830.5%Elevance Health
CareSource Georgia378,13523.7%CareSource

How Joining Works in Georgia

First the state: Georgia Medicaid enrollment through the GAMMIS provider portal (Gainwell), which gives you the Medicaid ID every plan asks for. Then the plans: each takes its own participation request and credentials you from your CAQH ProView (DataSpring) profile. 3 parent companies run plans here, and plans owned by the same company still contract state by state.

How to Join Each Georgia Plan

Peach State Health Plan (Centene): Centene runs this plan alongside its Ambetter and Wellcare products. Each Centene plan takes its own contract request on the plan's provider website, credentials from your CAQH ProView (DataSpring) profile, and will not load a provider without the state Medicaid ID.

Amerigroup Community Care (Elevance Health): Elevance Health plans take participation requests through the plan's provider site for that state, most of them now inside Availity Essentials, and credential from your CAQH ProView (DataSpring) profile. Each state is its own contract.

CareSource Georgia (CareSource): CareSource takes participation requests through its provider pages for each state and credentials from your CAQH ProView (DataSpring) profile.

Also in Georgia: Medicare, Georgia Medicaid and commercial credentialing.

Questions

Which Georgia Medicaid plan is the largest?

Peach State Health Plan, with 729,962 members in 2024, 45.8% of the 1,594,095 people enrolled in Georgia's Medicaid managed-care plans.

Do I have to join every Georgia Medicaid plan?

No. Each plan is a separate contract. Practices usually start with the two or three largest plans in their county, then add others as patients ask for them. All of them require Georgia Medicaid enrollment first.

Membership from KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Plans change when the state rebids its contracts; we confirm the current list on every file.

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