Date of Award

Spring 5-10-2013

Degree Type


Degree Name

Doctor of Philosophy (PhD)


Public Management and Policy

First Advisor

John Thomas, PhD

Second Advisor

Karen Minyard, PhD

Third Advisor

James Marton, PhD

Fourth Advisor

Juan Rogers, PhD

Fifth Advisor

Kathleen Adams, PhD


From Policy to Practice:

Implementation of Georgia’s Medicaid Family Planning Waiver Program

Sarah C. Blake, MA

282 pages

Directed by Dr. John Thomas

The purpose of this research was to examine the implementation of Georgia’s Medicaid family planning program, known as Planning for Healthy Babies® or P4HB®. This program is the first such program to provide both family planning services and inter-pregnancy care services through a Medicaid expansion to low-income, uninsured women. An evaluative case study design was employed using mixed methods. These methods incorporated process measures to study the implementation of P4HB® and to assess whether P4HB® was implemented as planned We incorporated theory from the policy implementation and health care access literatures to understand what served as facilitators or barriers to successful implementation. Findings suggest that despite precise goals and objectives, formal guidance about the program did not incorporate clear implementation planning. Many stakeholders, including advocates, providers, and representatives from implementing agencies felt left out of the implementation process and did not feel invested in the program. Considerable confusion existed among eligible clients and providers about the nature and scope of the P4HB® program. This lack of awareness and understanding about P4HB® likely contributed to the program’s low enrollment and participation in the first year of its implementation. As many states prepare to expand their Medicaid programs under the Patient Protection and Affordable Care Act (ACA), this study provides important lessons for policy planning and implementation.