Dozens of Georgia’s foster children are housed in hotels or state offices because the state can’t find a better place for them to stay. But officials trying to end the practice face fights with the state’s own insurer and a lack of treatment beds.
Foster parents, group homes, crisis stabilization units and psychiatric treatment facilities may be refusing such children because they are too difficult to care for or because the state doesn’t pay enough.
But advocates also point to a Medicaid insurance plan that makes it hard to find treatment before children spiral into crisis. Georgia’s Department of Community Health contracts with Amerigroup, a division of insurance giant Elevance Health, for managed care. The state pays Amerigroup a fixed amount per foster child to provide coverage and hold down costs.
“Why can’t kids be served with the goal of increasing access instead of decreasing costs?” asked Dr. Michelle Zeanah, a Statesboro pediatrician. She suggested the state pay through a traditional fee-for-service arrangement, saying more providers accept that form of Medicaid payment than managed care.
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