Georgia Implementation Timeline
Georgia Deployment Roadmap & EHRM Preparedness
A four-phase plan to bring KaiCare's community care bridge from an Atlanta pilot to statewide coverage, then across VISN 7 — robust to the EHRM schedule, the CCN Next Gen consolidation, and the RISE VISN reorganization.
Phased Approach
Four Phases from Atlanta to VISN 7
Each phase builds on the previous, expanding geography, capability, and veteran coverage while maintaining quality, compliance, and the named-MA continuity model.
Atlanta Pilot
Objectives
- Validate FHIR Gateway against Epic (Emory, Piedmont, Northside, Wellstar) and athenahealth community primary care
- Onboard 5-10 community practices serving Atlanta VAHCS's 50-county catchment
- Assign named MAs to the first veteran cohort; establish RPM/CCM baseline
- Test bidirectional VistA/CPRS exchange through GaHIN
Deliverables
- Production FHIR R4 endpoint live for pilot practices
- Provider enrollment portal with Atlanta-market credentialing workflow
- Bidirectional data exchange with Atlanta VAHCS (Decatur)
- Quality dashboard tracking HEDIS metrics for the pilot cohort
KPIs
- 5-10 practices onboarded and transmitting data
- 200+ Atlanta-area veterans under named-MA care
- Community care referral prep time reduced below 7 days
- Provider satisfaction score above 4.0/5.0
CSRA + Middle Georgia Expansion
Objectives
- Integrate Augusta practices with Charlie Norwood VAMC — including the 2025 Women Veterans Health Clinic
- Integrate Dublin-catchment practices via the new Dublin outpatient and women's health clinic
- Bring AU Health and Phoebe Putney (Oracle/Cerner) onto the Gateway in addition to Epic systems
- Launch provider directory with rural filters for Laurens, Bibb, Tift, Dougherty, and Richmond counties
Deliverables
- Referral engine processing Augusta + Dublin community care requests
- Searchable provider directory for Middle/South Georgia
- Full HEDIS/AHRQ quality dashboard with per-catchment drill-down
- Automated EDI 837 claims submission aligned with CCN Next Gen East
KPIs
- 30+ practices active across Augusta and Dublin markets
- 800+ veterans transitioned to named-MA continuity model
- Average referral-to-appointment time under 10 days in rural GA
- Women veteran panel growth at Augusta above 15% during phase
Statewide Georgia
Objectives
- Close the rural access gap — aligned with the Ossoff–Collins Rural Veterans Transportation bill
- Integrate with Governor Kemp's Challenge for Suicide Prevention — lethal-means safety and faith-based partnerships
- Close the PACT Act screening + follow-up loop for Gulf War and Post-9/11 veterans
- Bridge the VISN 7 / VISN 8 seam at the Valdosta VA Clinic (South-central GA under VISN 8)
Deliverables
- Full Georgia provider directory (rural + urban) with drive-time filtering
- Complete claims lifecycle processing through CCN Next Gen East
- AI care coordination engine (AWS Bedrock + Claude) generating monthly outreach scripts
- Statewide quality scorecard by county and specialty
KPIs
- 150+ practices enrolled statewide
- 5,000+ veterans under named-MA care across GA
- PACT Act follow-up rate above 90% within 6 months
- Homeless-flagged veterans with active housing navigator contact > 95%
Saturate Georgia + Federal EHR Readiness
Objectives
- Scale the Georgia network to 100+ enrolled community practices, covering every county — including rural CBOC catchments around Atlanta, Dublin, and Augusta VAMCs
- Deepen the specialty network for the Charlie Norwood Women Veterans Health Clinic and the Carl Vinson Dublin women veterans program
- Cut over from VistA/CPRS to Oracle Health FHIR endpoints when Georgia VAMCs land on the EHRM deployment schedule (2027–2031 window) — bridge architecture requires zero rework
- Complete GovCloud deployment and pursue FedRAMP Moderate authorization
Deliverables
- Statewide Georgia provider network (100+ practices, every county)
- GovCloud-deployed production infrastructure
- FedRAMP Moderate authorization (or equivalent ATO)
- Oracle Health connector validated against the first Georgia EHRM cutover
KPIs
- 100+ community practices enrolled across Georgia
- 20,000+ Georgia veterans under continuous KaiCare care
- Every Georgia county served by at least one in-network practice
- Full FedRAMP Moderate authorization achieved
EHRM Context
Georgia Is Not in the 2026 EHRM Waves
Per the official VA EHR deployment schedule, the 2026 Oracle Health restart covers 13 facilities across Michigan, Ohio, Indiana, Alaska, and Cleveland — none in Georgia. Georgia's three VAMCs stay on VistA/CPRS and are expected to convert inside the 2027–2031 window.
Wave 1 (Michigan)
April 2026
Sites
- Ann Arbor (VISN 10)
- Battle Creek (VISN 10)
- Detroit (VISN 10)
- Saginaw (VISN 10)
KaiCare:No Georgia site in Wave 1. KaiCare's Atlanta pilot is timed to Q3 2026 — independent of the Michigan restart.
Wave 2 (Ohio)
June 2026
Sites
- Chillicothe (VISN 10)
- Cincinnati (VISN 10)
- Cincinnati-Fort Thomas (VISN 10)
- Dayton (VISN 10)
KaiCare:No Georgia site. Atlanta pilot continues onboarding.
Wave 3 (Indiana)
August 2026
Sites
- Fort Wayne / VA Northern Indiana (VISN 10)
- Marion (VISN 10)
- Indianapolis — Roudebush VAMC (VISN 10)
KaiCare:No Georgia site. CSRA + Middle GA phase opens in Q4 2026 — driven by GaHIN onboarding timing, not EHRM wave timing.
Wave 4 (Anchorage + Cleveland)
October 2026
Sites
- Anchorage (VISN 20)
- Cleveland (VISN 10)
KaiCare:No Georgia site. 13 total facilities scheduled in 2026 — VISN 7 is not among them.
Georgia VAMC Window
2027–2031
Sites
- All three Georgia VAMCs (Atlanta Cleland, Augusta Charlie Norwood, Dublin Carl Vinson) remain on VistA/CPRS in 2026
- Specific Georgia wave dates not yet published on the VA deployment schedule
- Expected to convert inside the published 2027–2031 EHRM window
KaiCare:KaiCare's Phase 4 is timed to line up with the first Georgia VAMC Oracle Health cutover, whenever it lands inside the 2027–2031 window. The bridge works against VistA today and Oracle Health tomorrow — no rewrite required.
Bottom line: the KaiCare Georgia deployment does not depend on Oracle Health being live at Atlanta, Augusta, or Dublin. Our bridge reads VistA/CPRS today through the standard VA HIE and writes Oracle Health tomorrow through the same Carequality + GaHIN plumbing — so Georgia veterans get continuity of care years before EHRM reaches them.
Immediate Next Steps
30 / 60 / 90 Day Action Plan
A concrete plan from the first Atlanta discovery meeting to a live pilot serving metro Atlanta veterans — with GaHIN onboarding, ATO documentation, and practice integration on parallel tracks.
Discovery & Alignment
- Conduct discovery meeting with Atlanta VAHCS leadership and VISN 7 Community Care
- Map KaiCare architecture to the VA Technical Reference Model (TRM)
- Identify pilot practices in Decatur / Atlanta / Marietta with existing VA community care referral volume
- Initiate GaHIN onboarding — membership paperwork, Carequality participation
- Draft data sharing agreement (DSA) and business associate agreement (BAA)
- Begin FedRAMP readiness assessment with AWS GovCloud team
Pilot Design & Integration
- Finalize pilot cohort: 5-10 metro Atlanta practices with active veteran panels
- Deploy FHIR Gateway in staging connected to Atlanta VAHCS VistA test endpoint + GaHIN sandbox
- Complete GaHIN connection testing (takes roughly 30–45 days from signed agreement)
- Configure provider enrollment portal for pilot practices
- Assign Medical Assistant team to initial Atlanta veteran panel; begin training on Atlanta VAHCS workflows
- Complete security assessment documentation for VA Authority to Operate (ATO) — typical window 60-90 days
Go-Live & Measurement
- Launch Atlanta pilot with first 5 community practices transmitting data
- Enable live bidirectional exchange between pilot practices and Atlanta VAHCS via GaHIN/Carequality
- Begin monthly named-MA outreach calls for the pilot veteran cohort (Amazon Connect telephony)
- Fire first RPM threshold alerts; measure follow-up time vs. baseline
- Process first batch of community care claims through the claims bridge
- Present 90-day results to Atlanta VAHCS and VISN 7 leadership with Phase 2 (CSRA + Middle GA) expansion proposal
Ready to start the 30-day clock on the Georgia pilot? Contact us to schedule the discovery meeting with Atlanta VAHCS and VISN 7 Community Care.
Schedule Discovery Meeting