Will Your Medicaid Benefits Be Affected In Georgia?

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Georgia Medicaid redetermination is the process of reviewing the eligibility of current Medicaid and PeachCare for Kids® members to ensure they continue to meet the program’s requirements. This process is required by federal law and must be completed every 12 months.

During the COVID-19 pandemic, a Public Health Emergency (PHE) was declared, which allowed everyone on Medicaid and PeachCare for Kids® to maintain their coverage for the duration of the PHE. However, the PHE ended on April 1, 2023, and Georgia is now required to redetermine eligibility for all members who were enrolled during the PHE.

The redetermination process will begin when members receive a letter in the mail or email. The letter will provide instructions on how to update their information or submit documents to verify their eligibility. Members who do not respond to the redetermination request may be disenrolled from the program.

There are a number of factors that can affect a member’s eligibility for Medicaid and PeachCare for Kids®, including:

Income
Assets
Family size
Pregnancy
Disability
Other factors
Members who are unsure of their eligibility can contact the Georgia Department of Human Services (DHS) to inquire.

DHS has created a website, staycovered.ga.gov, that provides information about the redetermination process and resources to help members stay covered.

Who’s Eligible For Medicaid

Children: Children under the age of 19 who live in families with incomes at or below 205% of the federal poverty level (FPL) are eligible for Medicaid.
Pregnant women: Pregnant women who live in families with incomes at or below 220% of the FPL are eligible for Medicaid.
People with disabilities: Adults with disabilities who meet certain income and asset requirements are eligible for Medicaid.
People who are 65 or older: People who are 65 or older and meet certain income and asset requirements are eligible for Medicaid.
People who are blind: People who are blind and meet certain income and asset requirements are eligible for Medicaid.

In addition to these groups, there are also a number of other factors that can affect a person’s eligibility for Medicaid. These factors include:

Income: The amount of income a person has can affect their eligibility for Medicaid.
Assets: The amount of assets a person has can also affect their eligibility for Medicaid.
Family size: The size of a person’s family can also affect their eligibility for Medicaid.
Pregnancy: Pregnant women may be eligible for Medicaid even if their income and assets are above the normal limits.
Disability: People with disabilities may be eligible for Medicaid even if their income and assets are above the normal limits.

If you are unsure of whether you are eligible for Medicaid, you can contact the Georgia Department of Human Services (DHS) to inquire. DHS has created a website, staycovered.ga.gov, that provides information about Medicaid eligibility and resources to help people apply for Medicaid.

Here are some tips for applying for Medicaid in Georgia:

Gather your documents: Before you apply for Medicaid, you will need to gather some documents that will prove your identity, income, and assets. These documents may include:
- Birth certificate
- Social Security card
- Proof of income (pay stubs, tax returns, etc.)
- Proof of assets (bank statements, investment statements, etc.)
Apply online: You can apply for Medicaid online at staycovered.ga.gov.
Apply by mail: You can also apply for Medicaid by mail by downloading and completing the application form from the staycovered.ga.gov website.
Apply in person: You can also apply for Medicaid in person at any Georgia Department of Human Services office.

Once you have applied for Medicaid, DHS will review your application and determine whether you are eligible for coverage. If you are approved for Medicaid, you will be able to start receiving benefits immediately.

Here are some tips for staying covered during the redetermination process:

Check your mail and email regularly for redetermination notices.
Respond to redetermination requests promptly.
Update your information if it has changed.
Submit any required documents.
Contact DHS if you have questions.
By following these tips, you can help ensure that you continue to have health insurance coverage.