Georgia Medicaid income limits 2025

Last verified: June 2026

Georgia Medicaid income limits by eligibility group (2025)

Income limits are expressed as a percentage of the Federal Poverty Level (FPL). The 2025 FPL for a single person is $15,060 per year; for a family of four, $31,200 per year. Verify current dollar thresholds at medicaid.georgia.gov, as FPL amounts update each January.

Sources: Georgia DCH Medical Assistance Plans eligibility standards; KFF State Medicaid Eligibility data (2025). Dollar amounts based on 2025 HHS Federal Poverty Guidelines. Verify current thresholds at medicaid.georgia.gov before applying.

The parent income limit: approximately 35% FPL

Georgia's income limit for parents of dependent children — roughly 35% FPL — is among the lowest in the United States, per KFF state eligibility data. At 35% FPL, a family of three must earn less than approximately $8,800 per year for the parent to qualify. A parent working even part-time at minimum wage likely earns too much.

This is not a MAGI (Modified Adjusted Gross Income) exclusion or a calculation error. It reflects Georgia's policy choice not to extend eligibility further for parents — distinct from the Medicaid expansion decision, which applies to childless adults.

How income is counted: MAGI vs. non-MAGI rules

For most eligibility groups — children, pregnant women, parents, and Pathways participants — Georgia uses MAGI-based income counting rules. MAGI rules generally mirror how income is reported on a federal tax return. They do not count assets like savings accounts or car equity toward the income calculation.

Non-MAGI rules apply to aged, blind, and disabled applicants and to nursing facility applicants. These groups face both an income limit and an asset test. The asset limit for a single individual applying for nursing facility Medicaid in Georgia is $2,000 in countable assets. A primary residence, one vehicle, and personal belongings are typically excluded from the asset count.

Spouses of nursing facility applicants may retain a Community Spouse Resource Allowance (CSRA) — a protected amount of assets. The CSRA is subject to federal minimums and maximums that adjust annually. For the 2025 figures, contact DCH or a Medicaid planning attorney.

Georgia Pathways income limit: 100% FPL with an activity requirement

Georgia Pathways covers adults ages 19–64 at or below 100% FPL — roughly $15,060 per year for a single person in 2025. The income limit is lower than full expansion (138% FPL) and the program carries a monthly 80-hour community engagement requirement. Both conditions must be met every month.

Adults between 100% and 138% FPL are not eligible for Georgia Medicaid under Pathways or any other category (unless they qualify on another basis such as pregnancy or disability). They fall in an income range where federal marketplace subsidies currently apply — check healthcare.gov for plan options.

The coverage gap for Georgia adults

Based on 2025 FPL of $15,060 for a single person. Childless adults are the primary affected group. Parents, pregnant women, and SSI recipients follow different rules.

Georgia vs neighboring states: adult Medicaid eligibility