Georgia Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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How to fill out Application For Presumptive Eligibility For Medicaid?

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FAQ

Presumptive eligibility is an expedited process of enrolling eligible Georgia residents into the Medical Assistance program.

What are the basic requirements to qualify for Medicaid? Aged (65 or older), Blind or Disabled. Application for other benefits. Citizenship/Qualified Alien status. Valid social security number (SSN) Residency. Assignment of medical benefits to the Division of Medical Assistance (DMA)

If you have a medical emergency and do not have health insurance, you may qualify for Emergency Medicaid benefits.

To apply, contact your local county Division of Family and Children Services (DFCS) office or the Right from the Start Medicaid Program, toll-free at 1-800-809-7276. You may also contact the Healthy Mothers/Healthy Babies Powerline at 1-800-822-2539.

State residents eligible for Medicaid support (sometimes referred to as Medical Assistance) include pregnant women, children, retirees age 65 and older, and people who are legally blind or disabled. Those who need nursing home care or who have breast or cervical cancer may also qualify.

You may be eligible for Medicaid if your income is low and you match one of the following descriptions: You think you are pregnant. You are a child or teenager. You are age 65 or older. You are legally blind. You have a disability. You need nursing home care.

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. In 2023 these limits are: $14,580 for a single adult person, $30,000 for a family of four and $50,560 for a family of eight.

If you are a family with children under 19 and have very low or no income. If your income is higher than the limits and you have medical bills you owe (and you are pregnant, under 18 or over 65, blind, or disabled.) If a child is in foster care or adopted.

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Georgia Application for Presumptive Eligibility for Medicaid