Georgia Medicaid: Pathways to Coverage

Georgia Pathways to Coverage™ is a new health insurance program that helps eligible Georgians who can’t afford medical care pay for some or all of their medical bills, albeit with a work requirement. ¹

Pathways offers Medicaid coverage to eligible Georgia residents who are between the ages of 19 and 64 with an income up to 100% of the poverty level.

Unlike any other Medicaid plan in the country, those who enroll in the Pathways program are required to complete at least 80 hours of a qualifying activity, such as work, job training, college or community service each month to gain and keep their coverage.

Pathways covers many of the same medical services as traditional Medicaid, including:

• Doctor visits.
• Hospital stays.
• Emergency services.
• Prescriptions.
• Laboratory and x-rays.
• Family planning services.
• Mental health services.
• Preventive and wellness services.
• Chronic disease management services.

FAQ

What are the income limits for Medicaid in Georgia?

Because Georgia has not fully expanded Medicaid, eligibility is limited to adults ages 19–64 earning less than 100% of the poverty level. Children ages 6–18 are covered up to 138% FPL.

The income limit for children ages 1–5 in Georgia is 154% of the poverty level. Children from families above that level will automatically be screened for PeachCare for Kids®, which covers children up to 252% FPL.

How do I apply for Georgia Medicaid?

You can apply for Medicaid on Georgia Gateway . To apply by phone, call the Georgia Division of Family and Children Services (DFCS) and speak with a representative.

Georgia Division of Family & Children Services
Customer Contact Center
(877) 423-4746