Case Study: Georgia Department of Human Resources

The Client:

Georgia Department of Human Resources, Division of Mental Health, Developmental Disabilities, & Addictive Diseases (DMHDDAD)

The Project:

Georgia Child & Adolescent participant Supports Program – Third Party Administrator (TPA)

The Opportunity:

Prior to the start of the Georgia Child & Adolescent participant Supports Program, participant and family support services in the State of Georgia were funded by contract. participant supports are used to supplement the behavioral health services that participants receive on an ongoing basis. Eligible participants include children and adolescents with severe emotional disturbances and/or substance use disorders. DMHDDAD felt an increasing need to expand access to support services to these participants throughout the state. The division wanted to create a program that would allow for referring provider agencies to easily locate qualified vendors to deliver services to meet the needs of participants. The State had a dedicated amount of funds to be administered through this program and was looking for a third party to manage the service dollars while providing fiscal monitoring and vendor network development.

The PPL Approach:

Public Partnerships, LLC (PPL) contracted with the State of Georgia as a Third Party Administrator.
Working with the State, PPL was able to apply past experience and financial management
knowedge as a partner in the design and implementation of the C&A participant Supports
Program. PPL:

  • Worked with the division to create policies, procedures, and the necessary operational
    structure to support the development of the program;
  • Developed a fully web-based information system, allowing for participant enrollment, vendor
    registration and credentialing, submission and tracking of service referrals, and submission of vendor invoices;
  • Customized PPL’s information technology platforms to the State’s unique program
    requirements and ensured that the platforms interfaced directly with the web portal;
  • Conducted training sessions and developed training materials to help program participants
    learn the program rules and navigate the web-based system;
  • Established a local office to support program users and provide customer service, along with
    ongoing vendor network development, including credentialing and training;
  • Hired two regional network developers dedicated to vendor recruitment and support of both
    traditional and non-traditional vendors within their designated regions.

The Result:

  • Within the first four months of operation, 650 participants received at least one approved service referral. The number grows each day;
  • Service referrals are approved or denied in real-time via the web-based validation system;
  • Vendors are able to submit invoices at any time through the web and PPL issues payments weekly;
  • PPL’s network development team has worked to credential and supports over 115 vendors across the State and is continuously recruiting and engaging additional vendors;
  • PPL continues to work with the State and other stakeholders to monitor program trends and utilization and to implement program design improvements.

Why Choose Us?

"We make it easier for consumers to create their own opportunities."

We build each program to meet the unique needs of each state and the program participants while satisfying the most current Centers for Medicare and Medicaid Services (CMS) and IRS requirements.

 

What Clients are Saying...

  • “Kianga displayed Superior Customer Service on her call today, let me vent, had great patience, and came up with a solution that I was happy with. Thanks.”– program participant in Virginia

Contact Us

Feel free to contact us today

Address: 148 State Street 10th Floor Boston, MA 02109
Telephone: 1-855-2GETPPL (855-243-8775)
FAX: 617-717-0085
E-mail: ppl@pcgus.com