Georgia Pathways to Coverage™ offers Medicaid coverage to 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.
To be eligible for Pathways, you may need to demonstrate that you are:
- Be a Georgia resident.
- Be a U.S. citizen or legally residing non-citizen.
- Be between 19 and 64 years of age.
- Have a household income of up to 100% of the Federal Poverty Level (FPL).
- Prove that you are doing at least 80 hours of qualifying activities per month.
- Not qualify for any other type of Medicaid.
- Not be incarcerated.
To see if you meet the FPL income guidelines, click here.
To be eligible for Pathways, you must demonstrate that you are currently engaged in 80 hours per month of a qualifying activity or combination of activities. Qualifying activities include:
- Full-time or part-time employment.
- On-the-job training.
- Job readiness assistance programs.
- Community service.
- Vocational educational training.
- Enrollment in the Vocational Rehabilitation program of the Georgia Vocational Rehabilitation Agency (GVRA).
- Higher education.
At application, your qualifying activities may need to be verified.
Qualifying activity requirements will only apply to Pathways members and not those who are enrolled in other Georgia Medicaid programs.
To qualify for Georgia Pathways to Coverage™, an applicant must be a Georgia resident and a US citizen or legally residing non-citizen.
To prove citizenship status, applicants may need to provide documents that show they are a Georgia resident and a U.S. citizen or legally residing non-citizen, and that show their identity.
Pathways enrollment may or may not cause you to be considered a public charge which could impact your citizenship status. If you believe that participation in Pathways might impact your citizenship status, contact the United States Citizenship and Immigration Services (USCIS) before applying. It is important to understand how this might affect you.
To qualify for Georgia Pathways to Coverage™, an applicant must have a gross household income of up to 100% of the Federal Poverty Level (FPL). Dollar amounts for the FPL are updated annually.