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
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):
- English
Form 94A
Standard Font :
- English Form 94A Large Print:
- Español (Spanish)
Forma 94A
Letra en tamaño normal :
- Español (Spanish) Forma 94A Letra grande:
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 94A
Standard Font :
- English Form 94A Large Print:
- Español (Spanish)
Forma 94A
Letra en tamaño normal :
- Español (Spanish) Forma 94A Letra grande:
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:
-
Class
Notice
-
Settlement
Agreement
-
Court
Order Preliminary Approval of Settlement Agreement
-
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
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
DSH
Payment Methodology Revision Medicaid Public Notice FVDW
Public
Notice: Ground Ambulance Upper Payment Limit
Public
Notice: ICWP Waiver Renewal and Rate Increase
Public
Notice: NH Quality Incentive
Public
Notice: Physician Upper Payment Limit
Public
Notice: Portable Radiography Medicare Cross Cover
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
Psychiatric
Residential Treatment Facilities Rate Adjustment Public Notice FVDW
CMO
Hospital DPP Private Providers Public Notice FVDW
Elderly
and Disabled Waiver Renewal Public Notice & Waiver Renewal Application FVDW
New
Options Waiver Renewal Public Notice & Waiver Renewal Application FVDW
Termination
of Postpartum Ext 1115(a) Waiver & Extension to 12 months postpartum Public Notice FVDW
Virtual Lobby Resources
HIPAA Notice of Privacy Practices
Notice
of Free Interpretation Services and Accessibility Assistance Poster
Extension
of Postpartum Services 1115 Demonstration Waiver
Abbreviated
Extension of Postpartum Services 1115 Demonstration Waiver