Medicaid

How Do I Apply for Medicaid?

Looking for information on Estate Recovery, Casualty, Estates, Special Needs Trust programs and other Third-Party Liability (TPL) resources?  Visit: https://resources.hms.com/state/georgia/medicaid

*If you need help reading this information or communicating with us, ask us or call 1-877-423-4746. Our services, including interpreters, are free. If you are deaf, hard-of-hearing, deaf-blind or have difficulty speaking, you can call us at the number above by dialing 711 (Georgia Relay).

Medicaid is a program that provides health care services to individuals who meet the requirements for income, resources and citizenship. Coverage categories include those for low-income families with children under age 19 and adults who are age 65 or over, blind or disabled.

Additional Medicaid Information
Download this pdf file.  How do I use my Medicaid Services?

1. Get Prepared

Review What do I need to apply for Medicaid? You can also visit Georgia Gateway to see if you are potentially eligible for benefits.

2. Complete and Submit an Application

Download Form 94A below.
(If needed, a link to Georgia's Voter Registration is also included below):

OR

Download a Form 297 below.
(If needed, a link to Georgia's Voter Registration is also included below):

SNAP (Food Stamp) Form 297 – Application for SNAP, TANF and Medicaid in other languages:

Form 297A - Rights and Responsibilities in other languages:

OR

Self-service application options:

Online: Log on to Georgia Gateway at https://gateway.ga.gov/ to apply for benefits. Available 24/7.

By Phone: Call the Customer Contact Center at (877) 423-4746 to submit an application by telephone. 

An application is considered filed when it has the name of the head of household, address, date and signature of the head of household or another household member and is received by DFCS.

Notice of Free Interpretation Services
If you have difficulty communicating with us because you do not speak English or have a disability, please notify a staff person. Free interpretation services, translated materials or other assistance is available upon request.

For additional support with requesting large print versions of DFCS applications, please visit https://dfcs.georgia.gov/adasection-504-and-civil-rights.

DFCS Reasonable Modifications and Communication Assistance Request Form for Persons with Disabilities

Do you have a disability and need a reasonable modification or communication assistance to access DFCS services? Click here to request a reasonable modification, communication assistance, extra help or to learn more about the rights of customers with disabilities.

Medicaid Benefit Renewal

All benefits recipients are required to undergo periodic review of continued program eligibility. A renewal form and any required accompanying verification can be submitted in Georgia Gateway or by using Form 508 – the FOOD STAMP/MEDICAID/TANF Renewal Form. (A link to Georgia's Voter Registration Application is also included below.)

Form 508 – Food Stamp / Medicaid / TANF Renewal Form in other languages:

Notice of Class Action Settlement

The Georgia Department of Human Services and the Department of Community Health have entered into a settlement agreement for a federal lawsuit involving individuals in Georgia who are receiving Supplemental Security Income (SSI) Mediciaid benefits because they receive SSI benefits. The following documents describe the lawsuit and the settlement:
Download this pdf file. Class Notice

- Download this pdf file. Supplemental Notice
Download this pdf file. Settlement Agreement
- Download this pdf file. Court Order Preliminary Approval of Settlement Agreement
- Download this pdf file.  Fairness Hearing Zoom Link

Voter Registration Information:

Register Online: To apply to register to vote where you live now, visit sos.ga.gov.

Print an application: You may print an application by visiting sos.ga.gov.

If you want a Georgia Voter Registration application mailed to you, you may call the Georgia Secretary of State’s office at 404-656-2871, call DFCS’ Customer Contact Center at 877-423-4746, or visit sos.ga.gov.

Non-Discrimination Statement

The Georgia Department of Human Services (“DHS”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, religion, or sex (including pregnancy, sexual orientation, and gender identity). DHS does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity).

DHS provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters, written information in other formats (large print, audio, accessible electronic formats, other formats). DHS provides free language services to people whose primary language is not English, such as qualified interpreters, information written in other languages.

If you believe that DHS  has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity), you can file a discrimination complaint with DHS.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at www.hhs.gov/ocr/complaints/index.html.

You may also file discrimination complaints by contacting your local DFCS office, or the DFCS Civil Rights and ADA/Section 504 Coordinator at: 47 Trinity Ave. S.W., Atlanta, Georgia 30334, 404-657-3735. For complaints alleging discrimination based on limited English proficiency, contact the DHS Limited English Proficiency and Sensory Impairment Program at: 47 Trinity Ave. S.W., Atlanta, Georgia 30334,​​​​​​​ or call 404-657-5244 (voice).

Medical Assistance Related Files

Download this pdf file. Planning for Healthy Babies (P4HB) 1115 Demonstration Amendment Proposal Public Notice FVDW

Download this pdf file. Biomarker Testing Coverage Public Notice FVDW

Download this pdf file. Certified Community Behavioral Health Center Public Notice FVDW

Download this pdf file. Comprehensive Supports Waiver Program (COMP) and New Options Waiver Program (NOW) Amendments Public Notice FVDW

Download this pdf file. Current Procedural Terminology (CPT) 96112 and 96113 Rate Methodology Change Public Notice FVDW

Download this pdf file. Georgia Medicaid IPPS Rebase to APR DRG Public Notice FVDW

Download this pdf file. Psychiatric Residential Treatment Facilities (PRTF) Rate Methodology Change Public Notice FVDW

Download this pdf file. DSH Payment Methodology Revision Medicaid Public Notice FVDW

Download this pdf file. Public Notice: Ground Ambulance Upper Payment Limit

Download this pdf file. Public Notice: ICWP Waiver Renewal and Rate Increase

Download this pdf file. Public Notice: NH Quality Incentive

Download this pdf file. Public Notice: Physician Upper Payment Limit

Download this pdf file. Public Notice: Portable Radiography Medicare Cross Cover

Download this pdf file. Public Notice: Hospital DPP

Download this pdf file. Public Notice: Dental Rate Increase

Download this pdf file. Public Notice: PCP OBGYN Codes Increase

Download this pdf file. Public Notice: NH reimbursement

Download this pdf file. Public Notice: NH Mechanical Vent

Download this pdf file. Public Notice: E&D Rate Increase

Download this pdf file. NH Quality Incentive Public  Notice FVDW

Download this pdf file. Withdrawal of Public Notice: Increased Supplemental Quality Incentive Payments for Eligible           Nursing Facilities

Download this pdf file. Update NH Rates to Include Use of the 2021 General and Professional Liability Insurance Cost             Public Notice rev FVDW

Download this pdf file. Medicaid Coverage of Routine Patient Costs Furnished in Connection with Participation in             Qualifying Clinical Trials Public Notice FVDW

Download this pdf file. Psychiatric Residential Treatment Facilities Rate Adjustment Public Notice FVDW

Download this pdf file. CMO Hospital DPP Private Providers Public Notice FVDW

Download this pdf file. Elderly and Disabled Waiver Renewal Public Notice & Waiver Renewal Application FVDW

Download this pdf file. New Options Waiver Renewal Public Notice & Waiver Renewal Application FVDW

Download this pdf file. STRONG Public Notice FVDW

Download this pdf file. Termination of Postpartum Ext 1115(a) Waiver & Extension to 12 months postpartum Public Notice FVDW

Download this pdf file. Ambulance Provider Fee Programs Rules 111-3-14 Public Notice SIGNED and Synopsis FVDW

Download this pdf file. Behavioral Support Services-Service Establishment Public Notice FVDW

Download this pdf file. Changes to Disproportionate Share Hospital (DSH) Allocation Methodology Public Notice

Download this pdf file. Dental Code Increases Medicaid Public Notice FVDW

Download this pdf file. Eliminate Attestation and Reimburse All Eligible Providers at Enhanced Rates Public Notice FVDW

Download this pdf file. Georgia Pediatric Program-Rate Increase Public Notice FVDW

Download this pdf file. Long Term Acute Care Hospitals Inpatient Rehabilitation Facilities Public Notice FVDW

Download this pdf file. MEDICAID Update Nursing Home Rate to 2020 Cost Report Public Notice FVDW

Download this pdf file. Nursing Home Mechanical Ventilator Medicaid Public Notice FVDW

Download this pdf file. Obstetric and Gynecology Codes Medicaid Public Notice FVDW

Download this pdf file. Private 911 Ground Ambulance Upper Payment Limit (UPL) Program Medicaid Public Notice FVDW ​​​​​​​

Download this pdf file. Changes to Disproportionate Share Hospital (DSH) Allocation Methodology Public Notice FVDW

Download this pdf file. Hospital Services Extension of the Hospital Medicaid Financing Program Public Notice FVDH

Download this pdf file. Quality Initiatives and Care for Kids (QUICK) Directed Payment Program (DPP) Public Notice FVDW

Virtual Lobby Resources

Download this pdf file. HIPAA Notice of Privacy Practices

Download this pdf file. Notice of Free Interpretation Services and Accessibility Assistance Poster

Download this pdf file. Extension of Postpartum Services 1115 Demonstration Waiver

Download this pdf file.  Abbreviated Extension of Postpartum Services 1115 Demonstration Waiver

Download this pdf file. ADA/Section 504 Poster