Georgia Medicaid Eligibility

This page provides general guidelines for the Georgia Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Georgia Department of Community Health. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Georgia Medicaid office.


Georgia Medicaid Overview

The Medicaid program is a federal and state funded program that serves needy individuals and families who meet financial and other eligibility requirements and certain other individuals who lack adequate resources to pay for medical care.


Georgia Medicaid Eligibility Requirements - Non Income

Enrollees must be U.S. citizens or lawful aliens living in Georgia.


Documents Needed For Georgia Medicaid Application


Georgia Medicaid Benefits

Benefits include: ambulance; ambulatory surgical services, nurse anesthetists; diagnostic, screening and preventive services; dental; dialysis, durable medical equipment, family planning; early and periodic screening, diagnosis and treatment (EPSDT); health insurance premium purchase program; home health, hospice, inpatient and outpatient hospital, care for the developmentally challenged; laboratory and radiology; Medicare crossovers; mental health; non-emergency transportation; maternity, nurses and nursing facility; oral surgery; orthotic and prosthetic; pharmacy, physician, podiatric services; pre-admission screening/annual resident review, rural health clinic/ community health center; vision care.


Georgia Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Georgia Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 205%
Age 1-5: 149%
Age 6-18: 133%
247% Medicaid: 220%
CHIP: N/A
35% 0%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,994
Age 1-5: $1,449
Age 6-18: $1,293
$2,402 Medicaid: N/A
CHIP: N/A
$340 $0

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,687
Age 1-5: $1,953
Age 6-18: $1,743
$3,238 Medicaid: $2,884
CHIP: N/A
$459 $0

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,381
Age 1-5: $2,457
Age 6-18: $2,193
$4,073 Medicaid: $3,628
CHIP: N/A
$577 $0

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $4,074
Age 1-5: $2,961
Age 6-18: $2,643
$4,909 Medicaid: $4,373
CHIP: N/A
$696 $0