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Caresource Georgia Co

Caresource Georgia Co

Atlanta, GA 30339
Tax ID47-2408339

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About this organization

Revenue

$669,379,273

Expenses

$690,031,269

Mission

To make a lasting difference in our members' lives by improving their health and well-being. CareSource Georgia Co. is a nonprofit Medicaid HMO licensed by the State of GA.

About

CareSource Georgia ("CSGA") is a nonprofit corporation established under the state laws of Georgia. On July 18, 2017, CSGA received a determination letter from the Internal Revenue Service, recognizing CSGA as an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, effective as of the date of CSGA's formation. CSGA is a member of the CareSource group of nonprofit organizations (the "CareSource Group"). The parent of the CareSource Group is CareSource Management Group Co ("CSMG"), an Ohio nonprofit corporation that is tax-exempt under section 501(c)(3) of the Internal Revenue Code of 1986 (the "Code"). The CareSource Group's primary activity for the last thirty (30) years has been to provide nonprofit Medicaid health maintenance organization ("HMO") services. The mission of the CareSource group is to make a lasting difference in its members' lives by improving their health and well-being. The CareSource Group firmly adheres to this mission, which it terms as the organization's "heartbeat," by providing services that go beyond the delivery of medical benefits. CSGA began providing care to participants in its Medicaid HMO plan on July 1, 2017. As a Medicaid-only HMO, CSGA exclusively serves individuals meeting the low-income thresholds for Medicaid eligibility. CSGA participates in the State of Georgia's Planning 4 Healthy Babies program, or P4HB, which is a demonstration waiver program for women meeting Medicaid income thresholds designed to help reduce the number of low birth weight babies born each year. Through the P4HB program, CSGA offers family planning services, healthcare coverage for certain pregnancy related chronic conditions, and case management services to women at risk for a low birth weight delivery. In accordance with the CareSource Group's charitable mission, CSGA provides numerous programs and policies that encourage its members to obtain preventative and necessary medical care. Many of these programs are educational in nature and intended to make each member aware of their benefits. For example, upon enrollment, each member receives a handbook with an overall explanation of benefits. Members also receive periodic newsletters which include additional information on member benefits and reminders concerning preventative care. Additionally, CSGA contacts members throughout the year to further assist members in understanding their benefits. As part of the Year in the Life Project, CSGA will rely on data and analytical models assembled by the CareSource Group intended to maximize the effectiveness of communication by tailoring its timing and method to the individual member. Finally, upon enrollment, each member will be automatically assigned both a primary care physician ("PCP") and primary dental provider ("PDP"). Assigning a PCP represents the first step in encouraging members to utilize their benefits. Also, because each PCP will be required to contact members to schedule Early and Periodic Screening, Diagnostic, and Treatment ("EPSDT") appointments for children covered by CSGA, it increases the likelihood that CSGA's youngest members receive the preventative care they need. Ensuring members have access to quality dental care is also essential, as dental care is closely linked to the overall health and well-being of members. CSGA implements other programs and policies to improve its members' overall well-being. Wellness rewards are available for kids, adults, and pregnant moms and babies. CSGA provides dental and vision benefits to all members, including those over the age of twenty-one (21). Additionally, CSGA provides members with free access to a nursing hotline twenty-four (24) hours a day, seven (7) days a week. These nurses review a member's symptoms, offer guidance on when to seek medical care, explain any conditions with which a member has been recently diagnosed, provide education on over-the-counter medications, and help members prepare a list of questions prior to a visit with their doctor. This triaging of care both improves the efficiency of the Medicaid program and reduces unnecessary hospitalizations and emergency department visits. CSGA aims to remove poverty as a barrier to achieving good health, and CSGA provides a number of programs designed to meet challenges that are specific to individuals with low-incomes. One program is Transportation. Because low-income individuals frequently have difficulty keeping medical appointments due to a lack of transportation, CSGA will augment their transportation benefit. CSGA provides enhanced benefits to members that are above and beyond required benefits defined by state or federal agencies. Together, these enhanced benefits provide CSGA members additional program benefits in order to make a lasting difference in members' lives by improving their health and well-being. In 2018, CSGA paid over $2 Million to fund these enhanced member benefits. In 2016, the CareSource Group implemented CareSource Life Services, a program focused on helping members get and keep jobs they need to improve their lives. Life Services offers services and support that can pave the way from where members are to where they want to be. Life Services offers tools to help members balance work and life and to remove barriers that stand in the way of reaching their dreams. The first program under the Life Services umbrella is JobConnect. Through the JobConnect program, CSGA can help with employment assistance, access to free GED testing, interview skills, dependable transportation, budgeting and personal finance, job training, and stress management. In addition, CSGA initiated arrangements with Fifth Third Bank for free or reduced banking services for members. Each participant is assigned a life coach, who helps them build a personal plan for success, and the pilot program has already worked with nearly 500 members successfully employing more than 30 individuals. CSGA has built a network of nearly 100 potential employers and community resources to partner in job placement for members. CSGA partnered with educational institutions to support members on their path to education. Since 2017, CSGA has partnered with Atlanta Public Schools Adult Education Center to assist members who need GED support and testing. This partnership provided onsite coaching to members, an annual job fair, onsite marketing opportunities, and career development services to students who attend the center. CSGA serves as a member of the center's Advisory Council. CSGA also partnered with Chattahoochee Technical College to provide financial support and JobConnect services to students enrolled in the school's Special Population Services. Students in Special Populations Services may be classified as economically disadvantaged because they receive assistance from safety net programs, pregnant students or young mothers, or nontraditional students. This partnership provided scholarship opportunities and financial resources to students in the high demand education programs. This partnership includes an annual job fair, onsite marketing, onsite coaching for CareSource members and students, and career development services. Over 80% of the Georgia Medicaid population is children. As a result, it was imperative that CSGA develop arrangements that address the health status and social needs of this population. Therefore, CSGA offers membership to local Girls & Boys Clubs and Girl Scouts of America to encourage additional civic and community engagement in Georgia's youth members. CSGA partnered with the Metro Atlanta YMCA to offer a free family membership that provided families with access to health and wellness resources. CSGA is also implementing a childhood obesity management program, designed to help children between the ages of five (5) and seventeen (17) lose weight. CSGA launched the "Adopt a School" program in 2018. This program provided telehealth equipment to a school where a majority of the students were eligible for free or reduced lunch and had an active school nurse program. CSGA partnered with Atlanta Public Schools and adopted an elementary school in southwest Atlanta, Georgia. This partnership included telehealth equipment, onsite marketing, a sponsorship to support PTA meetings and a sponsorship to support the annual honors program and fifth grade graduation. CSGA partnered with the Children's Museum of Atlanta and served as a contributing sponsor for the museum's Family Free Days. The Family Free Day program provided free admission to low income families in the Atlanta metropolitan area. Importantly, CSGA operates under the CareSource Group's unique care coordination models. The primary model is Care4U. Care4U represents an innovative and patient-centered approach to health care, as it focuses resources on improving and maintaining overall population health. Care4U does this through a new digital platform to assist in the management of chronic conditions. As part of Care4U,

Interesting data from their 2020 990 filing

The filing clearly states the mission of the non-profit as “Caresource georgia co. is a nonprofit medicaid health insuring organization licensed by the state of georgia.”.

When outlining its functions, they were explained as: “To make a lasting difference in our members' lives by improving their health and well-being. caresource georgia co. is a nonprofit medicaid hmo licensed by the state of ga.”.

  • In compliance with legal regulations, the non-profit has reported their state of operation as GA.
  • The filing records the non-profit's address for 2020 as PO Box 8738, Dayton, OH, 45401.
  • As of 2020, the non-profit's form reports a total of 0 employees.
  • Does not operate a hospital.
  • Does not operate a school.
  • Does not collect art.
  • Does not provide credit counseling.
  • Does not have foreign activities.
  • Is not a donor advised fund.
  • Is not a private foundation.
  • Expenses are greater than $1,000,000.
  • Revenue is greater than $1,000,000.
  • Revenue less expenses is -$20,651,996.
  • The compensation of the CEO of the organization is not based on an independent review and approval process.
  • The organization has a written policy that describes how long it will retain documents.
  • The organization has 4 independent voting members.
  • The organization was formed in 2014.
  • The organization has a written policy that addresses conflicts of interest.
  • The organization is required to file Schedule J.
  • The organization is required to file Schedule O.
  • The organization engages in lobbying activities.
  • The organization pays $0 in salary, compensation, and benefits to its employees.
  • The organization pays $0 in fundraising expenses.
  • The organization provides Form 990 to its governing body.
  • The organization has minutes of its meetings.
  • The organization has a written whistleblower policy.
  • The organization's financial statements were reviewed by an accountant.

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