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

Download the application (a link to Georgia's Voter Registration Application is also included below):

• English:  Form 94A   Standard Font 
  •  Georgia’s Voter Registration Application and  Voter Registration Notice
• English: Form 94A Large Print
  •  Georgia’s Voter Registration Application and  Voter Registration Notice
• Spanish/Español:  Form 94A  Letra en tamaño normal
  • Sistema de registro de votantes de Georgia y  Aviso de registro de votantes
• Spanish/Español: Form 94A Letra grande
  • Sistema de registro de votantes de Georgia y  Aviso de registro de votantes

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.)

• English: Form 508  Standard Font
  • Georgia’s Voter Registration Application
• English: Form 508 Large Print
  • Georgia’s Voter Registration Application 
• Spanish: Forma 508  Letra en tamaño normal
  • Sistema de registro de votantes de Georgia 
• Spanish/Español:  Forma 508 Letra grande
  • Sistema de registro de votantes de Georgia

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

Additional Voter Registration Information:

Register Online: To apply to register to vote where you live now, select the following link to access Georgia’s Online Voter Registration System or visit sos.ga.gov/index.php/Elections/register_to_vote.

Print an application: To apply to register to vote where you live now, you may print an application by selecting the following link to access Georgia’s Voter Registration Application or visit sos.ga.gov/index.php/Elections/register_to_vote.

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/index.php/Elections/register_to_vote.

Non-Discrimination Statement

This institution is prohibited from discriminating on the basis of race, color, national origin, disability, age, sex or religion

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Additionally, program information may be made available in languages other than English.

To file a complaint of discrimination regarding a program receiving Federal financial assistance through the U.S. Department of Health and Human Services (HHS), write: HHS Director, Office for Civil Rights, Room 515-F, 200 Independence Avenue, S.W., Washington, D.C. 20201 or call (800) 368-1019 (voice) or (800) 537-7697 (TTY).

This institution is an equal opportunity provider.

Under the Department of Community Health (DCH) policy, the Medical Assistance Programs cannot deny you eligibility or benefits based on your race, age, sex, disability, national origin, or religious beliefs.

To report medical eligibility or provider discrimination, call the Georgia Department of Community Health, Office of Program Integrity (local 404-463-7590) or (toll free) 800-533-0686. You may also report Medicaid fraud by calling (toll free) 1-800-533-0686.

Under the Department of Human Services (DHS), you may also file other discrimination complaints by contacting your local DFCS office, or the DFCS Civil Rights, ADA/Section 504 Coordinator at 2 Peachtree Street NW, Ste 19-454, Atlanta, GA, 30303, 404-657-3735. For complaints alleging discrimination based on limited English proficiency, contact the DHS Limited English Proficiency and Sensory Impairment Program at: 2 Peachtree Street, NW, Ste 29-103 NW, Atlanta, GA 30303 or call 404-657-5244 (voice), 404-463-7591 (TTY), 404-651-6815 (fax).

Medical Assistance Related Files

Public Notice: Hospital DPP

Public Notice: Dental Rate Increase

Public Notice: PCP OBGYN Codes Increase

Public Notice: NH reimbursement

Public Notice: NH Mechanical Vent

Public Notice: E&D Rate Increase

NH Quality Incentive Public  Notice FVDW

ICWP Waiver Renewal and Rate Increase Public Notice FVDW

Withdrawal of Public Notice: Increased Supplemental Quality Incentive Payments for Eligible Nursing Facilities

Virtual Lobby Resources

HIPAA Notice of Privacy Practices
Notice of Free Interpretation Services
Extension of Postpartum Services 1115 Demonstration Waiver
Abbreviated Extension of Postpartum Services 1115 Demonstration Waiver