Provider Network
Planning for Healthy Babies® program participants will receive family planning and inter-pregnancy care (IPC) services through one of Georgia Families care management organizations (CMOs) and their affiliated provider network. P4HB® participants will be allowed to select their CMO.
Women enrolled in P4HB who do not receive Medicaid are eligible for select family planning services covered by the Georgia Medicaid program and will only have access to family planning providers. These participants will be referred to other providers, such as federally qualified health centers and rural health centers for primary care needs.
Women who do not receive Medicaid and have given birth to a very low birth weight (VLBW) baby on or after January 1, 2011, are eligible for IPC services. Women enrolled in the IPC section of the P4HB program will have access to the CMO’s primary care and family planning providers. In addition, they will have access to providers for dental services, substance abuse treatment, prescription drugs (non-family planning) and Resource Mother services.
Women who currently receive Medicaid benefits and give birth to a VLBW baby are only eligible for Resource Mother services. The Resource Mother provides assistance and support to mothers and makes ensures they have information on parenting, nutrition and healthy lifestyles.