GA MEDICAID MARKET

Georgia

Name: Georgia Medicaid Managed Care RFP & Procurement Intelligence | Precapture
Creator: Precapture

procurement

Georgia Families solicitation 41900-DCH0000133 remains in protest

Last verified 206 days ago

Last verified 206 days ago · unknown because newest item is older than 21 days

Current reprocurement

PROCUREMENT

Verification tier 2

Georgia Families solicitation 41900-DCH0000133 remains in protest

April 23, 2026

The Georgia Department of Community Health's April 23, 2026 Georgia Families update says solicitation 41900-DCH0000133 is in the protest phase and a notice of award has not been issued. The same update extends the current contracts for Amerigroup, CareSource, and Peach State through June 30, 2027. The December 26, 2024 notice of intent to award names CareSource, Humana, Molina, and UnitedHealthcare as the apparent successful health plans, and names UnitedHealthcare for the Georgia Families 360 contract.

Precapture analysis

The notice of award is still unissued, so the apparent successful plans are not a completed award. The June 30, 2027 date is an extension of the current Amerigroup, CareSource, and Peach State contracts.

Plans in market

Amerigroup · Georgia Families · incumbent · source · as of 2026-04-23
CareSource · Georgia Families · incumbent · source · as of 2026-04-23
Peach State Health Plan · Georgia Families · incumbent · source · as of 2026-04-23

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 30

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
CareSource	CareSource - Georgia	not reported	209,460 (2018)	14.8% calculated	not reported
CareSource	CareSource Georgia	not reported	376,721 (2024)	24.2% calculated	18 sanctions, 2,427 appeals resolved
CareSource	CareSource of Georgia	not reported	219,815 (2019)	15.8% calculated	not reported
CareSource	CareSource- Georgia	not reported	7,458 (2018)	18.9% calculated	not reported
Centene	Peach State Health Plan	not reported	728,318 (2024)	46.7% calculated	9 sanctions, 3,910 appeals resolved

show all 30

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
Centene	Peach State Health Plan	not reported	360,037 (2018)	25.4% calculated	not reported
Centene	PeachState Health Plan	not reported	350,997 (2019)	25.3% calculated	not reported
Centene	WellCare of Georgia	not reported	498,219 (2020)	32.0% calculated	not reported
Elevance	Amerigroup	not reported	29,258 (2018)	100.0% calculated	not reported
Elevance	Amerigroup	not reported	13,038 (2019)	27.0% calculated	not reported
Elevance	Amerigroup Community Care	not reported	553,767 (2022)	28.0% calculated	not reported
Elevance	Amerigroup Community Care	not reported	26,796 (2017)	100.0% calculated	not reported
Elevance	Amerigroup Community Care	not reported	342,618 (2018)	24.2% calculated	not reported
Elevance	Amerigroup Community Care	not reported	454,023 (2024)	29.1% calculated	18 sanctions, 4,004 appeals resolved
Elevance	Amerigroup Community Plan	not reported	263,832 (2017)	21.6% calculated	not reported
not reported	Logisticare	not reported	869,286 (2018)	53.6% calculated	not reported
not reported	NEMT	not reported	849,323 (2020)	48.1% calculated	not reported
not reported	NEMT	not reported	1,039,283 (2021)	52.2% calculated	not reported
not reported	NEMT	not reported	1,121,360 (2022)	51.9% calculated	not reported
not reported	NEMT	not reported	999,315 (2024)	52.4% calculated	not reported
not reported	ModivCare	not reported	0 (2019)	not reported	not reported
not reported	NEMT	not reported	917,155 (2020)	51.9% calculated	not reported
not reported	NEMT	not reported	1,039,355 (2022)	48.1% calculated	not reported
not reported	Southeast Trans	not reported	0 (2019)	not reported	not reported
not reported	Southeast Trans	not reported	753,966 (2018)	46.4% calculated	not reported
not reported	NEMT	not reported	909,053 (2024)	47.6% calculated	not reported
not reported	Amerigroup	not reported	2,423 (2016)	23.1% calculated	not reported
not reported	Amerigroup Community Care	not reported	25,426 (2016)	100.0% calculated	not reported
not reported	Peach State Health Plan	not reported	4,323 (2016)	41.2% calculated	not reported
not reported	WellCare of Georgia	not reported	3,744 (2016)	35.7% calculated	not reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

Georgia Families (Comprehensive MCO)

Georgia Families (Comprehensive MCO) 8

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Community Care	Elevance Health	Elevance	Statewide	CMS reported 454,023 (2024)	29.1%	-133,655 (-22.7%)	+0.6 pts	2016: 314,406; 2018: 342,618; 2019: 344,186; 2020: 393,769; 2021: 492,077; 2022: 553,767; 2023: 587,678; 2024: 454,023
Amerigroup Community Plan	Amerigroup (An Anthem Company)	Elevance	Statewide	not reported	not reported	not reported	not reported	2017: 263,832
CareSource - Georgia	CareSource	CareSource	Statewide	not reported	not reported	not reported	not reported	2018: 209,460
CareSource Georgia	CareSource	CareSource	Statewide	CMS reported 376,721 (2024)	24.2%	-91,010 (-19.5%)	+1.5 pts	2017: 229,523; 2020: 271,065; 2021: 367,762; 2022: 429,093; 2023: 467,731; 2024: 376,721
CareSource of Georgia	CareSource	CareSource	Statewide	not reported	not reported	not reported	not reported	2019: 219,815

show all 8

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Peach State Health Plan	Centene	Centene	Statewide	CMS reported 728,318 (2024)	46.7%	-276,353 (-27.5%)	-2.1 pts	2016: 365,744; 2017: 301,276; 2018: 360,037; 2020: 393,851; 2021: 940,576; 2022: 993,978; 2023: 1,004,671; 2024: 728,318
PeachState Health Plan	Centene	Centene	Statewide	not reported	not reported	not reported	not reported	2019: 350,997
WellCare of Georgia	WellCare	Centene	Statewide	not reported	not reported	not reported	not reported	2016: 512,634; 2017: 426,278; 2018: 504,431; 2019: 474,410; 2020: 498,219

Georgia Families 360 (Comprehensive MCO)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Community Care	Elevance Health	Elevance	Statewide	CMS reported 30,592 (2024)	100.0%	-1,493 (-4.7%)	0.0 pts	2017: 26,796; 2019: 28,631; 2020: 28,631; 2021: 29,485; 2022: 31,188; 2023: 32,085; 2024: 30,592
Amerigroup	Anthem Insurance Companies, Inc.	Elevance	Statewide	not reported	not reported	not reported	not reported	2018: 29,258

Georgia Families 360o (Comprehensive MCO)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Community Care	not reported	unmatched	Statewide	not reported	not reported	not reported	not reported	2016: 25,426

Georgia Pathways to Coverage (Comprehensive MCO)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Community Care	Elevance Health	Elevance	Statewide	CMS reported 1,383 (2024)	31.1%	+1,383	not reported	2023: 0; 2024: 1,383
CareSource Georgia	CareSource	CareSource	Statewide	CMS reported 1,414 (2024)	31.8%	+1,414	not reported	2023: 0; 2024: 1,414
Peach State Health Plan	Centene	Centene	Statewide	CMS reported 1,644 (2024)	37.0%	+1,644	not reported	2023: 0; 2024: 1,644

Non-Emergency Medical Transportation (NEMT)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
NEMT	Modivcare	Modivcare	Central, East, and Southwest Regions	CMS reported 999,315 (2024)	52.4%	not reported	not reported	2024: 999,315
NEMT	Modivcare	Modivcare	Central, East, and Southwest regions	not reported	not reported	not reported	not reported	2022: 1,121,360; 2023: 1,246,102
NEMT	Verida	Verida	Atlanta and North Regions	CMS reported 909,053 (2024)	47.6%	not reported	not reported	2024: 909,053
NEMT	Verida	Verida	Atlanta and North regions	not reported	not reported	not reported	not reported	2022: 1,039,355; 2023: 1,195,024

Non-Emergency Medical Transportation (NEMT) (Non-Emergency Medical Transportation)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Logisticare	LogistiCare	LogistiCare	Baldwin, Bibb, Bleckley, Butts, Carroll, Clayton, Coweta, Dodge, Fayette, Heard, Henry, Jasper, Jones, Lamar, Laurens, Meriwether, Monroe, Newton, Pike, Putnam, Rockdale, Spalding, Telfair, Troup, Twiggs, Wilkinson, Appling, Bacon, Brantley, Bryan, Bulloch, Burke, Camden, Candler, Charlton, Chatham, Clarke, Columbia, Effingham, Elbert, Emanuel, Evans, Glascock, Glynn, Greene, Hancock, Hart, Jeff Davis, Jefferson, Jenkins, Johnson, Liberty, Lincoln, Long, Madison, McDuffie, McIntosh, Montgomery, Oconee, Oglethorpe, Pierce, Richmond, Screven, Taliaferro, Tattnall, Toombs, Treutlen, Ware, Warren, Washington, Wayne, Wheeler, Wilkes, Atkinson, Baker, Ben Hill, Berrien, Brooks, Calhoun, Chattahoochee, Clay, Clinch, Coffee, Colquitt, Cook, Crawford, Crisp, Decatur, Dooly, Dougherty, Early, Echols, Grady, Harris, Houston, Irwin, Lanier, Lee, Lowndes, Macon, Marion, Miller, Mitchell, Muscogee, Peach, Pulaski, Quitman, Randolph, Schley, Seminole, Stewart, Sumter, Talbot, Taylor, Terrell, Thomas, Tift, Turner, Upson, Webster, Wilcox, and Worth Counties	not reported	not reported	not reported	not reported	2017: 825,063; 2018: 869,286
ModivCare	Providence Service Corporation	Providence Service Corporation	Baldwin, Bibb, Bleckley, Butts, Carroll, Clayton, Coweta, Dodge, Fayette, Heard, Henry, Jasper, Jones, Lamar, Laurens, Meriwether, Monroe, Newton, Pike, Putnam, Rockdale, Spalding, Telfair, Troup, Twiggs, Wilkinson, Appling, Bacon, Brantley, Bryan, Bulloch, Burke, Camden, Candler, Charlton, Chatham, Clarke, Columbia, Effingham, Elbert, Emanuel, Evans, Glascock, Glynn, Greene, Hancock, Hart, Jeff Davis, Jefferson, Jenkins, Johnson, Liberty, Lincoln, Long, Madison, McDuffie, McIntosh, Montgomery, Oconee, Oglethorpe, Pierce, Richmond, Screven, Taliaferro, Tattnall, Toombs, Treutlen, Ware, Warren, Washington, Wayne, Wheeler, Wilkes, Atkinson, Baker, Ben Hill, Berrien, Brooks, Calhoun, Chattahoochee, Clay, Clinch, Coffee, Colquitt, Cook, Crawford, Crisp, Decatur, Dooly, Dougherty, Early, Echols, Grady, Harris, Houston, Irwin, Lanier, Lee, Lowndes, Macon, Marion, Miller, Mitchell, Muscogee, Peach, Pulaski, Quitman, Randolph, Schley, Seminole, Stewart, Sumter, Talbot, Taylor, Terrell, Thomas, Tift, Turner, Upson, Webster, Wilcox, and Worth Counties	not reported	not reported	not reported	not reported	2019: 0
Southeast Trans	Southeastrans, Inc. - Atlanta, GA Atlanta, Georgia 30337	Southeastrans, Inc. - Atlanta, GA Atlanta, Georgia 30337	Banks, Barrow, Bartow, Catoosa, Chattooga, Cherokee, Cobb, Dade, Dawson, Douglas, Fannin, Floyd, Forsyth, Franklin, Gilmer, Gordon, Habersham, Hall, Haralson, Jackson, Lumpkin, Morgan, Murray, Paulding, Pickens, Polk, Rabun, Stephens, Towns, Union, Walker, Walton, White, Whitfield, Fulton, DeKalb, and Gwinnett Counites	not reported	not reported	not reported	not reported	2017: 731,158; 2018: 753,966
Southeast Trans	Southeastrans, Inc.	Southeastrans	Banks, Barrow, Bartow, Catoosa, Chattooga, Cherokee, Cobb, Dade, Dawson, Douglas, Fannin, Floyd, Forsyth, Franklin, Gilmer, Gordon, Habersham, Hall, Haralson, Jackson, Lumpkin, Morgan, Murray, Paulding, Pickens, Polk, Rabun, Stephens, Towns, Union, Walker, Walton, White, Whitfield, Fulton, DeKalb, and Gwinnett Counties	not reported	not reported	not reported	not reported	2019: 0

Non-Emergency Medical Transportation (Non-Emergency Medical Transportation)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
NEMT	ModivCare (formerly LogistiCare)	ModivCare (formerly LogistiCare)	Central, East, and Southwest regions	not reported	not reported	not reported	not reported	2021: 1,039,283
NEMT	Southeastrans	Southeastrans	Atlanta and North regions	not reported	not reported	not reported	not reported	2021: 951,244

Planning for Healthy Babies (Other PHP (limited benefits))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Community Care	Elevance Health	Elevance	Statewide	CMS reported 19,603 (2024)	30.7%	+267 (+1.4%)	+0.2 pts	2023: 19,336; 2024: 19,603
CareSource Georgia	CareSource	CareSource	Statewide	CMS reported 16,972 (2024)	26.6%	-698 (-4.0%)	-1.3 pts	2023: 17,670; 2024: 16,972
Peach State Health Plan	Centene	Centene	Statewide	CMS reported 27,222 (2024)	42.7%	+830 (+3.1%)	+1.0 pts	2023: 26,392; 2024: 27,222

Planning for Healthy Babies (Other Prepaid Health Plan (PHP) (limited benefits))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup Community Care	Anthem	Elevance	Statewide	not reported	not reported	not reported	not reported	2017: 2,376; 2020: 17,001; 2021: 18,302; 2022: 18,609
CareSource Georgia	CareSource	CareSource	Statewide	not reported	not reported	not reported	not reported	2017: 26; 2020: 13,543; 2021: 15,838; 2022: 16,878
Peach State Health Plan	Centene	Centene	Statewide	not reported	not reported	not reported	not reported	2017: 3,464; 2020: 16,984; 2021: 28,546; 2022: 27,236
WellCare of Georgia	WellCare	Centene	Statewide	not reported	not reported	not reported	not reported	2017: 3,238; 2020: 13,992

Planning for Healthy Babies (P4HB) (Other Prepaid Health Plan (PHP) (limited benefits))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Amerigroup	Anthem	Elevance	Statewide	not reported	not reported	not reported	not reported	2016: 2,423; 2018: 10,556; 2019: 13,038
CareSource of Georgia	CareSource	CareSource	Statewide	not reported	not reported	not reported	not reported	2019: 9,489
CareSource- Georgia	CareSource	CareSource	Statewide	not reported	not reported	not reported	not reported	2018: 7,458
Peach State Health Plan	Centene	Centene	Statewide	not reported	not reported	not reported	not reported	2016: 4,323; 2018: 10,734; 2019: 13,181
WellCare of Georgia	WellCare	Centene	Statewide	not reported	not reported	not reported	not reported	2016: 3,744; 2018: 10,698; 2019: 12,553

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

Appeals, grievances, and enrollment share (2024) 10

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
Amerigroup Community Care	Elevance	Georgia Families	1,315	286	21.7% calculated	1,373	20.3%	24.1%
CareSource Georgia	CareSource	Georgia Families	1,094	374	34.2% calculated	438	16.4%	19.5%
Peach State Health Plan	Centene	Georgia Families	1,493	586	39.2% calculated	435	33.8%	40.1%
Amerigroup Community Care	Elevance	Georgia Families 360	670	46	6.9% calculated	178	1.5%	1.7%
Amerigroup Community Care	Elevance	Georgia Pathways	7	2	28.6% calculated	13	0.04%	0.04%

show all 10

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
CareSource Georgia	CareSource	Georgia Pathways	8	4	50.0% calculated	1	0.04%	0.04%
Peach State Health Plan	Centene	Georgia Pathways	4	1	25.0% calculated	5	0.04%	0.05%
Amerigroup Community Care	Elevance	Planning for Healthy Babies	126	17	13.5% calculated	360	0.9%	1.1%
CareSource Georgia	CareSource	Planning for Healthy Babies	4	0	0.0% calculated	16	0.8%	1%
Peach State Health Plan	Centene	Planning for Healthy Babies	11	1	9.1% calculated	19	1.3%	1.5%

Sanctions (2024)

Sanctions (2024) 26

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
Amerigroup Community Care	Elevance	Reporting	2023-09-12	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting (N/A)	2023-09-12	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting	2023-09-12	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting	2023-09-12	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting	2023-08-28	No	Yes, remediated

show all 26

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
Amerigroup Community Care	Elevance	Reporting	2023-09-12	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting	2023-09-12	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting (N/A)	2024-06-20	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting (N/A)	2023-08-28	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting	2023-08-28	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting	2023-08-28	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting (N/A)	2023-08-28	No	Yes, remediated
CareSource Georgia	CareSource	Reporting (N/A)	2024-04-04	No	Yes, remediated
CareSource Georgia	CareSource	Reporting (N/A)	2023-10-06	No	Yes, remediated
CareSource Georgia	CareSource	Reporting (N/A)	2023-10-06	No	Yes, remediated
CareSource Georgia	CareSource	Reporting	2023-10-20	No	Yes, remediated
CareSource Georgia	CareSource	Reporting	2023-10-06	No	Yes, remediated
CareSource Georgia	CareSource	Reporting (N/A)	2023-10-06	Yes	Yes, remediated
Peach State Health Plan	Centene	Reporting (N/A)	2024-05-20	Yes	Yes, remediated
Peach State Health Plan	Centene	Reporting (N/A)	2023-11-08	No	Yes, remediated
Peach State Health Plan	Centene	Performance improvement (N/A)	2024-04-12	No	Yes, remediated
Amerigroup Community Care	Elevance	Reporting	2024-05-03	No	Remediation in progress
Amerigroup Community Care	Elevance	Reporting	2023-12-07	No	Yes, remediated
CareSource Georgia	CareSource	Reporting	2024-02-16	Yes	Yes, remediated
CareSource Georgia	CareSource	Reporting (N/A)	2024-03-22	Yes	Yes, remediated
Peach State Health Plan	Centene	Reporting	2024-08-31	No	Yes, remediated

Award history

Georgia Families and Georgia Families 360 41900-DCH0000133: protested. DOAS issued eRFP 41900-DCH0000133 on September 22, 2023 and a notice of intent to award on December 2, 2024. The November 10, 2025 decision denied the protests. DCH said on April 23, 2026 that the procurement was still in the protest phase and a notice of award had not been issued.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

rfp Georgia Families CMO procurement is in protest: posted. 2027-06-30. The Georgia Families latest-news page labels an update Posted 04/23/26. That update says the Georgia Families and Georgia Families 360 Care Management Organization procurement is in the protest phase pending the Notice of Award. It says that pending that notice the Department of Community Health will extend the current CMO contracts for Amerigroup, CareSource, and Peach State through June 30, 2027. June 30, 2027 is the stated contract extension. It is not a proposal deadline. The update does not issue the Notice of Award. Georgia. No plan is named on the record. A solicitation or early procurement signal is on the record. Stated contract end Jun 30, 2027.

Coverage: not_collected. Source receipts: 1 changed at 2026-11-15T10:15:33+00:00. Sources and dates

Contract amendments

No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Coverage not_collected.

No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy

Federal Register SPA disapproval hearing notices (2015 or later): 0

Plan financials

No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.