Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-16 · 29/29
- Proven sweep
- 2026-07-15
- Target
- T1 · weekly
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Georgia has 36 community health centers across 466 sites serving 750,212 patients — the #11 FQHC state by patients in the national-breadth layer. As a non-expansion state, the uninsured are the biggest exposure, and the ACA premium-credit expiry is the dominant federal risk.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
140,411 reported patients
Actual values: 11/12 · source-backed: 9/12
Visible gaps: reported financials, NPPES operator identity, EHR.
Hash-pinned review: 2026-07-19 · next 2026-09-02
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-16 · addition
New tracked GA development added to the state intelligence feed.
2026-07-16 · addition
New tracked GA development added to the state intelligence feed.
2026-07-16 · addition
New tracked GA development added to the state intelligence feed.
2026-07-16 · addition
New tracked GA development added to the state intelligence feed.
2026-07-16 · addition
New tracked GA development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this GA record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
Georgia enters the second half of 2026 with three verified operating signals. The independent Pathways tracker reports 17,709 active and 30,396 cumulative enrollees as of May 31, while clearly labeling the current count as open-records data not yet approved by CMS. The state announced the first $12.73 million from its $218.9 million GREAT Health award on June 8; five recipients were named and no FQHC appeared in that opening group, while later competitive phases were planned for providers and community partners. DCH also submitted a two-year Medicaid provider-revalidation strategy with 29 performance indicators. National 2027 marketplace filings show a 14% median proposed increase, but Georgia-specific final rates and carrier participation still require Georgia-specific evidence before health centers change payer-mix forecasts.
Patient-weighted across the 35 centers with UDS 2024 data.
Georgia remains one of the most restrictive nurse practitioner scope states: NPs cannot practice independently and must work under a written protocol agreement with a supervising physician under the state's Nurse Protocol Act, with caps on how many NPs a single physician may supervise and limits on delegated prescribing. For FQHCs — which lean heavily on NPs to staff rural and HPSA sites — this raises recruiting friction and adds a physician-supervision cost layer that full-practice-authority states don't carry, a growing disadvantage as neighboring states compete for the same primary care workforce ahead of the January 2027 work-requirement administrative surge.
Expiry of the enhanced ACA premium tax credits (end of 2025) is the dominant federal risk in this non-expansion state — it widens the coverage gap and raises uninsured/self-pay volume at FQHCs; Medicaid community-engagement (work) requirements (CMS-2454-IFC, full implementation Jan 1, 2027) compound the redetermination burden.
Role implications
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Georgia ranks #11 by FQHC patients, with 36 organizations and 466 sites tied to uninsured exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
25.7% Medicaid/CHIP, 25.6% uninsured, and 0.9 points below the non-expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
90 public ATS snapshot rows across 5 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Georgia combines 750,212 FQHC patients with restricted NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
GPCA, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Georgia has 36 FQHC employers in the directory and 90 public ATS snapshot rows across 5 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
90 live FQHC job postings in Georgia on the national board right now.25 include employer-posted pay.5 verified employer sources; newest review 2026-07-20.
The observation remains unknown until a reproducible source sweep or manual review is completed. No published match does not mean zero layoffs.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
Georgia's live fiscal story is Pathways to Coverage's final six months (17,709 enrolled) and the $218.9M GREAT Health rollout — no health center among the first sub-grantees.
Primary source · as of 2026-07-14
29 primary-sourced findings on Georgia FQHC policy and financing.Newest item: 2026-07-16
As reviewed July 16, 2026, CareConnect Health’s current Byron location page lists walk-in primary and convenient care for children and adults seven days a week from 9 a.m. to 8 p.m., with three named family nurse practitioners. The page also offers virtual provider visits from anywhere in Georgia and describes Chronic Care 360 monitoring with pre-programmed blood-pressure monitors, glucometers, pulse oximeters, HbA1C monitors and scales.
The review date is not an opening or publication date, and the source does not report program eligibility, enrollment, device volume, utilization or clinical outcomes.
As retrieved July 15, 2026, the Georgia Primary Care Association homepage says GPCA has been a membership organization for Georgia FQHCs since 1977 and is designated as both the state Primary Care Association and Health Center Controlled Network under HRSA cooperative agreements. The page's animated counters rendered as zero in the captured source, so it does not support the prior claim of 35 organizations, 225 sites, 669,000 patients or 123 counties.
MedLink Georgia’s Patriot Health Hub page, updated July 10, 2026, identifies an operating school-based clinic at 15 Fairground Road in Lexington where staff provide services every school day to students, teachers and staff. The clinic lists weekday hours, welcomes walk-ins and provides sick visits, injury care, sports physicals, immunizations, preventive screenings, well-child checks and mental-health services.
A completed consent form is required for students; a parent or guardian does not have to attend. The page does not report an opening date, utilization, capacity, cost or outcomes.
KFF's July 8, 2026 analysis covers preliminary 2027 ACA marketplace filings from 77 insurers in 16 states and DC. The median requested increase is 14%; most requests fall between 10% and 20%, and 20 insurers seek increases above 20%.
KFF cites medical and prescription-drug costs, the expiration of enhanced premium tax credits, federal regulatory changes and a smaller, somewhat sicker risk pool. The analysis does not identify a Georgia-specific proposed or final rate.
Georgia lawmakers pressed the Department of Community Health in July after CareSource and Peach State Health Plan — two of the state's three Medicaid managed-care organizations for pediatric services — cut pediatric therapy reimbursement, including ABA and other autism-related services, to 80% of the Medicaid fee schedule, with therapists who reject CareSource's cut told they would be ejected from its network.
Separately, nearly 8,000 Medicaid providers faced suspension starting in June 2026 for failing to complete revalidation, and a June state report warned more than 60,000 others could follow in coming months, leaving families navigating outdated provider directories. Per a health-policy advocate's memo to the House panel, Georgia paid CareSource about $2.3 billion in Medicaid funds in FY2025; roughly 70% of Georgia Medicaid/PeachCare enrollees are under 21.
The Autism Families Alliance warns the rate cuts will lengthen already-long waitlists for autism diagnosis and treatment, particularly in rural areas where provider options are scarce.
The current GREAT Health funding page says Round 4 applications for Workforce Retention Technology (Surgical Robots) and Telehealth Enhancements are open from June 15 through July 15, 2026 through the program's grants portal. It also says the Care to Consumer: Telepods opportunity was open from May 15 through June 21 and is now closed, with successful applicants to be notified later.
The page links separate eligibility criteria; its visible text does not name FQHCs or RHCs as eligible for every opportunity.
On June 11, 2026, the Georgia Department of Community Health said it submitted a comprehensive two-year Medicaid Provider Revalidation Strategy to CMS in response to federal oversight requirements. The strategy addresses provider-enrollment integrity, program safeguards, and fraud, waste and abuse through 29 performance indicators in five measurement categories.
The announcement links the full submission but does not state provider-specific deadlines, claim-suspension rules or FQHC-specific requirements.
The Georgia Virtue's June 9 republication of the state announcement reports $12,730,000 in first-round GREAT Health awards for five strategies: newborn screening, acquired-brain-injury services, nursing summer camps, rural AHEC training and housing, and a Sharecare wellness platform. The named recipients are the Georgia Department of Public Health, Side by Side, the University System of Georgia, the Georgia Statewide AHEC Network and Sharecare; no FQHC is named.
The article says later phases are competitive but does not establish that the remaining federal award will go to primary-care infrastructure.
On June 8, 2026 the Georgia Department of Community Health announced $12,730,000 in first-round GREAT Health awards from the program's $218,862,169 federal assistance award. Named recipients are the Georgia Department of Public Health for newborn screening, Side by Side for acquired-brain-injury services, the University System of Georgia for nursing camps, the Georgia Statewide AHEC Network for rural training and housing, and Sharecare for consumer wellness.
No FQHC is named among this first group. DCH said Year 1 has four phases: Phase 3 ran May 15–June 15, Phase 4 was expected to open June 15, and both are competitive for providers, community organizations, and workforce or education partners.
The source says further investments are planned; it does not establish that Phase 4 actually opened or quantify future hospital losses, so those claims are not carried forward.
The independent GeorgiaPathways.org tracker reports 17,709 active Pathways to Coverage enrollees as of May 31, 2026 and 30,396 cumulative enrollees since July 2023. It says the current count came from an open-records request to the Georgia Department of Community Health and had not been approved by CMS for official reporting.
The same page reports $146,989,797 in program costs from January 2021 through March 2026, including a $30,979,501 state share, and describes exclusions from that total.
Governor Brian Kemp's May 11, 2026 workforce-bill announcement says HB 541 expands Georgia's Tuition Equalization Grant to students pursuing a bachelor's degree in nursing at a proprietary institution accredited by both the Higher Learning Commission and the Commission on Collegiate Nursing Education. The institution must have at least an 80% four-year average NCLEX pass rate.
The announcement does not estimate the number of students, graduates or FQHC hires attributable to the change.
In an April 23, 2026 update, DCH says the Georgia Families and Georgia Families 360 CMO procurement remains in the protest phase pending a Notice of Award. DCH will identify successful suppliers and an implementation timeline after that notice and, meanwhile, will extend Amerigroup, CareSource and Peach State contracts through June 30, 2027.
The page says Georgia Families serves about 1.3 million members and separately lists the four apparent winners named in the December 2, 2024 Notice of Intent to Award.
Healthbeat reports that Georgia marketplace enrollment fell from 1.5 million in January 2025 to 950,000 on April 17, 2026, a 37% decline based on state data obtained by public-records request. Compared with 1.3 million in April 2025, the decline is 27%.
The article explicitly says no data yet show whether people leaving marketplace plans became uninsured or obtained other coverage. It also cites an Urban Institute and Robert Wood Johnson Foundation estimate of more than $3.5 billion in 2026 Georgia health-sector revenue losses associated with the expired enhanced subsidies.
Georgians for a Healthy Future reports that the final FY2027 budget settled on a 5% increase for each of two primary-care Medicaid rate items, funded 124 new primary-care residency slots and 13 fellowship slots, and expanded maternal home visiting to 33 additional counties. It also reports a $50 million reduction in the state share of 1332-waiver reinsurance funding.
Its session recap lists HB 291, which would have created community-health-worker certification, among bills that did not pass.
NACHC's current funding page says annual discretionary Community Health Center funding expires September 30, 2026 and mandatory Community Health Center Fund support expires December 31, 2026. It reports $4.6 billion in recent mandatory funding and $1.858 billion in FY2026 discretionary funding, with the mandatory stream providing about 70% of federal CHC funding.
The page discusses possible national service, recruitment and project effects; it does not quantify a Georgia-specific grant share or facility impact.
In its April 2026 update, NACHC says it asked House and Senate appropriators for a $300 million increase over FY2026 annual discretionary Community Health Center funding. It also reports that a House letter seeking robust FY2027 funding drew a record 297 members and a similar Senate letter had 57 bipartisan signatories.
The page does not discuss Medicaid work requirements or project a five-year revenue loss for health centers.
GeorgiaPathways.org reports $146,989,797 in Pathways program costs from January 2021 through March 2026, including a $30,979,501 state share. The independent tracker says most figures come from Georgia's CMS-64 quarterly expenditure reports obtained through open-records requests; awareness-campaign data came from a separate request.
It says the total excludes waiver preparation, two Pathways lawsuits and an early-2024 pilot media campaign.
USDA Rural Development awarded East Georgia Healthcare Center (EGHC) a $379,048 Distance Learning and Telemedicine grant. The announced project will equip two hub sites, one combined hub/end-user site, and 15 end-user sites across 12 eastern Georgia counties—Appling, Bulloch, Candler, Emanuel, Evans, Jefferson, Jenkins, Montgomery, Screven, Tattnall, Toombs, and Treutlen—with computing and video capabilities.
EGHC clinicians based in Emanuel, Bulloch, and Toombs counties are expected to deliver primary care, pediatrics, optometry, mental health, patient education, case management, and employee education to the 15 locations. EGHC's COO said the equipment should help allocate staffing across a rural service area serving more than 35,000 patients, but that patient figure is operator-reported.
The release announces an award and intended deployment—not equipment in service, a launch date, a named endpoint list, incremental visits, new hires or FTEs, sustained connectivity or operating funds, or measured access outcomes; verify rollout status before presenting services as available.
A March 20 announcement from Senator Jon Ossoff's office says FY2026 government funding enacted February 3 includes $1.806 million for Albany Area Primary Health Care (AAPHC) to renovate and expand East Albany Medical Center. The official Senate appropriations table separately identifies the same HRSA-directed amount for facilities and equipment to expand a medical center.
AAPHC says the existing clinic serves more than 2,000 patients each month; planned work includes updated clinical space, accessibility improvements, patient-flow changes, expanded clinical capacity, and a larger on-site pharmacy. The monthly figure is operator-reported, and the source does not define whether it counts unique people or encounters.
The announcement does not document an HRSA notice of award, obligation or disbursement, construction start or completion, square footage, added rooms, pharmacy throughput, incremental visits, or hires; treat it as enacted project funding and planned expansion, not a completed renovation.
GPCA's republication of a Georgians for a Healthy Future analysis says the final amended FY2026 budget reduces state reinsurance funding from about $145.9 million to about $95.9 million and rejects $35 million to modernize Georgia Gateway. It includes about $20.4 million for graduate medical education, including $17.8 million for more than 103 South Georgia residency slots; $3.2 million for rural medical and dental clinic grants; and $900,000 for access in East Central Georgia medical-desert communities.
On February 26, 2026, DCH announced final CMS approval to use $218,862,169.63 in first-year Rural Health Transformation Program funds for GREAT Health. DCH said it was coordinating with named subgrantees, hiring 20 dedicated staff and developing spring grant applications.
It also said a Georgia-specific version of CMS's AHEAD model was expected; 57 of 93 invited hospitals had signed letters of intent, with a March 15 deadline.
HRSA's February 17, 2026 Request for Information says a December 29, 2025 order from the U.S. District Court for the District of Maine enjoined implementation of the 340B Rebate Model Pilot for all covered entities and the nine approved manufacturers. HRSA then requested evidence on the potential administrative, financial and patient-access effects of a rebate framework and said it would analyze comments before pursuing a pilot.
Comments were due March 19, 2026, not April 20.
On December 29, 2025, Governor Brian Kemp and DCH announced that CMS awarded Georgia $218.8 million for the first of five years of the GREAT Health Rural Health Transformation Program. The release calls Georgia's initial allotment one of the largest among the 50 states and says the program supports rural health infrastructure, workforce and care-delivery innovation.
It says implementation timelines and next steps would follow; it does not identify FQHC awards or a 225-site participation footprint.
Georgia Recorder's December 24, 2025 report describes Georgia's then-pending five-year, $1.4 billion GREAT Health application, not a final $218.8 million award. The proposal spans 29 projects, including more than $428 million to help up to 86 hospitals move toward the AHEAD model, $175 million for rural hospital infrastructure, and $148 million for recruitment and 75 new residency slots per year.
The federal rule described caps payments to healthcare providers at 15% of total funds; it is not a cap on all rural-provider allocations. The article attributes projected $5.4 billion Medicaid losses and 460,000 more uninsured people to a Georgia Health Initiative report, not to the state.
An October 30, 2025 Georgetown Center for Children and Families analysis says Pathways enrolled just over 8,000 Georgians after two years, about 7% of eligible low-income uninsured adults. Citing GAO, it reports about 3,500 full-year-equivalent enrollees in the first 15 months and estimates that administrative spending represented two-thirds of the incomplete spending total examined.
It says CMS extended the demonstration on September 23 through December 2026 and that Georgia was moving from monthly to annual reporting. The page does not report an 18,301-enrollee state projection.
The Atlanta Journal-Constitution's October 9, 2025 window-shopping review says Georgia Access then covered 1.5 million people. For a 60-year-old Fulton County couple earning $85,000, previously forecast to pay about $2,200 monthly without enhanced subsidies instead of about $602, posted 2026 silver-plan prices ranged from $2,600 to $4,800 per month; the lowest-priced option had a $10,000 deductible.
This is one household example, not a statewide average premium.
KFF's September 30, 2025 national analysis projected that, if enhanced premium tax credits expired, average annual premium payments among subsidized marketplace enrollees would rise 114%, from $888 in 2025 to $1,904 in 2026. It estimated an increase of more than $22,600 for a 60-year-old couple earning $85,000 and an increase from $0 to $420 for a 45-year-old earning $20,000 in a non-expansion state.
These are modeled national examples; the page does not forecast Georgia enrollment or FQHC utilization.
The governor's September 25, 2025 release says the Pathways extension began October 1, 2025 and runs through December 31, 2026. It says parents and legal guardians of Medicaid-enrolled children under six became an additional qualifying activity, members report qualifying activities and hours at application and annual renewal, and coverage begins retroactively on the first day of the application month.
The release reports 15,427 beneficiaries served since launch; it does not state active enrollment, GAO spending findings or post-2026 federal compliance details.
Georgia Recorder reported on September 17, 2025 that St. Mary's Sacred Heart Hospital in Lavonia would discontinue maternal-health services the next month and consolidate OB/GYN care within its system. The hospital cited an 18-month review, physician-recruitment challenges, changing demographics, patient outmigration and recent federal Medicaid cuts; the cuts were one factor, not the sole cause.
Patients in at least four northeast Georgia counties could travel more than an hour to Athens, although another hospital in Toccoa also provides labor and delivery. The article says only 36% of Georgia rural hospitals still offered labor-and-delivery services as of August 2025; it does not report 22 hospitals at closure risk.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Careconnect Health, Inc. Richland | 140,411 | 53 | 12.46% | $76M | Stable | GA-02 |
| Medlink Georgia, Inc. Colbert | 69,031 | 41 | 30.09% | $59M | Stable | GA-10 |
| Albany Area Primary Health Care, Inc. Albany | 54,964 | 36 | 21.71% | $64M | Stable | GA-02 |
| Neighborhood Improvement Project, Inc. Augusta | 49,532 | 29 | 6.27% | $53M | Stable | GA-12 |
| Southside Medical Center, Inc. Atlanta | 44,037 | 16 | 22.37% | $35M | Watch | GA-05 |
| Medcura Health Inc. Stone Mountain | 31,988 | 16 | 16.17% | $85M | Strong | GA-04 |
| Curtis V Cooper Primary Health Care Inc. Savannah | 30,570 | 19 | 38.09% | $23M | Watch | GA-01 |
| East Ga Healthcare Center Swainsboro | 26,768 | 25 | 43.4% | — | Stable | GA-12 |
| Georgia Highlands Medical Service Inc. Cumming | 23,869 | 8 | 38.13% | $20M | Watch | GA-07 |
| Coastal Community Health Services, Inc. Brunswick | 21,347 | 19 | 18.19% | $8M | Watch | GA-01 |
| District | Representative | Sites |
|---|---|---|
| GA-02 | Sanford D. Bishop, Jr. | 93 |
| GA-12 | Rick W. Allen | 73 |
| GA-01 | Earl L. “Buddy” Carter | 61 |
| GA-08 | Austin Scott | 61 |
| GA-10 | Mike Collins | 35 |
| GA-05 | Nikema Williams | 34 |
Georgia ranks #11 by FQHC patients and #11 by organization count among the 57 national-breadth jurisdictions. All 36 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Georgia-only. Updated 2026-06-30.