About the Program
Georgia Pathways to Coverage™ is an innovative program that creates a new pathway to Medicaid coverage and healthier communities. As one of Governor Kemp’s key priorities, this program seeks to increase access to affordable healthcare coverage, lower the uninsured rate across Georgia, support members on their journeys to financial independence, and promote members’ transition from Pathways into private coverage.
This program offers Medicaid coverage to eligible Georgians ages 19-64 who have a household income of up to 100% of the Federal Poverty Level (FPL), are not otherwise eligible for traditional Medicaid, and meet the qualifying activities threshold. Qualifying activity requirements will only apply to Pathways and not those who are enrolled in other Georgia Medicaid programs.
Pathways covers many of the same medical services as traditional Medicaid, including:
- Doctor visits.
- Hospital stays.
- Emergency services.
- Prescriptions.
- Laboratory and x-rays.
- Family planning services.
- Mental health services.
- Preventive and wellness services.
- Chronic disease management services.
Pathways does not cover non-emergency medical transportation except for members ages 19-20.
