Medicaid Redetermination Is Coming Soon

On April 1, 2023, the state of Georgia must redetermine eligibility for all people who currently receive Medicaid or PeachCare for Kids® coverage.

Update your contact information on Gateway now before the Medicaid redetermination deadline. Stay informed about your family’s Medicaid status! 

 

On April 1, 2023, the state of Georgia must redetermine eligibility for all people who currently receive Medicaid or PeachCare for Kids® coverage.

Update your contact information on Gateway now before the Medicaid redetermination deadline. Stay informed about your family’s Medicaid status! 

Stay Covered Peach

Current Georgia Medicaid Members

Don’t wait! Follow the instructions below to update your contact information before April 1, 2023.

desktopUpdate your current account or create an account at gateway.ga.gov to stay in the know about your Medicaid status.

When updating your Gateway account, be sure to complete all required fields. 

mobile

When you visit Georgia Gateway, please scroll to find the following options:

  • Click on “Manage My Account/Login” if you have used gateway.ga.gov to manage Medicaid benefits before. (You may have already used gateway.ga.gov to apply for or manage Medicaid, SNAP, TANF, MA, CAPS, or WIC benefits.)
  • Click on “Create an Account” if you have not used gateway.ga.gov before.

You have the option to choose how you would like to receive notifications. Select “email” to get convenient updates online. More instructions are here.

If you select “email”, please enter the primary email address where you regularly access your email online to receive timely notifications. Note: If your immediate family members/children are covered by Medicaid and have an account on Georgia Gateway, please make sure you list the same primary email address for each member of your family.

desktopUpdate your current account or create an account at gateway.ga.gov to stay in the know about your Medicaid status.

When updating your Gateway account, be sure to complete all required fields. 

mobile

 

When you visit Georgia Gateway, please scroll to find the following options:

  • Click on “Manage My Account/Login” if you have used gateway.ga.gov to manage Medicaid benefits before. (You may have already used gateway.ga.gov to apply for or manage Medicaid, SNAP, TANF, MA, CAPS, or WIC benefits.)
  • Click on “Create an Account” if you have not used gateway.ga.gov before.

You have the option to choose how you would like to receive notifications. Select “email” to get convenient updates online. More instructions are here.

If you select “email”, please enter the primary email address where you regularly access your email online to receive timely notifications. Note: If your immediate family members/children are covered by Medicaid and have an account on Georgia Gateway, please make sure you list the same primary email address for each member of your family.

 

HELP! I am having trouble signing in or creating an account at gateway.ga.gov.

Try the following steps to help create or access your account.

  • Make sure you have completed all required fields. This may include information about your current residence, income, job, household size, etc.
  • Forgot your username and/or password? No worries. From the login page, select “Forgot User ID” or “Forgot Password” to receive a one-time PIN delivered to your mobile phone or email to recover them.
  • When you have successfully created or updated an online profile, you will be sent a confirmation number. Remember to write it down for later use.
  • Tip: Write down your Georgia Gateway username and password and keep the information somewhere safe.

If you are still having issues, see the options below for further assistance. If you are an authorized user helping a Medicaid member, please note the member needs to be present for a phone call or in-person visit in order to update contact information.

I want to update my contact information in person.

You can schedule an in-person visit for support at your local Division of Family and Children Services office. Please note that this requires more time, so it is important to reach out ASAP. To find the location and business hours for your local office, visit: dfcs.georgia.gov/locations.

I want to update my contact information on the phone.

If you need help reading this information or communicating with us, call 1-877-GA-DHS-GO (1-877-423-4746). Our services, including interpreters, are free. If you are deaf, hard of hearing, deaf-blind, or have difficulty speaking, you can call us at the number above by dialing 711 (Georgia Relay).

I am not sure if I’m a Medicaid member or if I’m eligible for Medicaid.

Create an account at gateway.ga.gov to determine your status. You can also schedule an in-person visit at an office near you, or if you need help communicating with us, call 1-877-GA-DHS-GO (1-877-423-4746). Our services, including interpreters, are free. If you are deaf, hard of hearing, deaf-blind, or have difficulty speaking, you can call us at the number above by dialing 711 (Georgia Relay).

Partners & Providers: Help Spread the Word

On April 1, 2023, Georgia officials will conduct a full redetermination for eligibility of approximately 2.6 million Medicaid and PeachCare for Kids® recipients. We are asking partners, advocates, providers, family and friends to help spread the word so members stay informed and covered.

Please:

  • Share videos, images and other resources from the Medicaid Unwinding Partner Toolkit.
  • Direct members to this site.
  • Email or hand out this flyer.
  • Remind members to update their contact information at gateway.ga.gov
  • If Medicaid members are unable to access services online, encourage them to update their contact information in person or via phone.
  • Help members update their contact information if they need assistance.
  • If members are no longer eligible for Medicaid, they may qualify for other health benefit programs with the State of Georgia or with the Health Insurance Marketplace under the Affordable Care Act. Please notify them that they will receive a letter with more details about the programs for which they are eligible.  

Help & FAQ

Medicaid, PeachCare for Kids®, and Redetermination  

What is Medicaid?

Medicaid is a program that provides health care services to individuals who meet the requirements for income, resources, and citizenship. Coverage categories include those for low-income families with children under age 19 and adults who are age 65 or over, blind, or disabled. 

Who is eligible for Medicaid?

Basic requirements to determine eligibility under any Aged Blind Disabled (ABD) Medicaid program include:

  • Aged (65 or older), blind, or disabled
  • Application for other benefits
  • Citizenship/Qualified Alien status
  • Valid social security number
  • Residency
  • Assignment of medical benefits to the Division of Medical Assistance (DMA)

Basic requirements to determine eligibility under a Family Medicaid program include:

  • Age
  • Application for other benefits
  • Citizenship/Qualified Alien status
  • Cooperation with Child Support Service (CSS)
  • Valid social security number
  • Residency
  • Assignment of medical benefits to Division of Medical Assistance (DMA)
  • Living with a Specified Relative (For Low Income Medicaid (LIM) and Newborn only).
  • Cooperation with Office of Child Support Services is a requirement of receiving certain types of Medicaid.

Visit the Georgia Department of Human Services website for more information. To find out if you meet the requirements, create an account at gateway.ga.gov.

Who is eligible for Medicaid?

Basic requirements to determine eligibility under any Aged Blind Disabled (ABD) Medicaid program include:

  • Aged (65 or older), blind, or disabled
  • Application for other benefits
  • Citizenship/Qualified Alien status
  • Valid social security number
  • Residency
  • Assignment of medical benefits to the Division of Medical Assistance (DMA)

Basic requirements to determine eligibility under a Family Medicaid program include:

  • Age
  • Application for other benefits
  • Citizenship/Qualified Alien status
  • Cooperation with Child Support Service (CSS)
  • Valid social security number
  • Residency
  • Assignment of medical benefits to Division of Medical Assistance (DMA)
  • Living with a Specified Relative (For Low Income Medicaid (LIM) and Newborn only).
  • Cooperation with Office of Child Support Services is a requirement of receiving certain types of Medicaid.

Visit the Georgia Department of Human Services website for more information. To find out if you meet the requirements, create an account at gateway.ga.gov.

Is my Medicaid coverage ending?

Not necessarily, but your eligibility may change. You must update your contact information now to stay informed about your Medicaid status. Before the COVID pandemic, Medicaid member eligibility had to be redetermined each year. During the pandemic, the federal government declared a public health emergency. This emergency and changes in federal law allowed all Medicaid members to remain enrolled without redetermining their eligibility for benefits. Based on new changes in federal law as of December 2022, Medicaid redetermination will begin in April 2023, regardless of whether or not the public health emergency ends. Eligibility will once again need to be redetermined for all Medicaid members beginning on April 1, 2023.

What is Medicaid redetermination?

Redetermination is the process that Georgia must follow to make sure current Medicaid and PeachCare for Kids® members are still eligible for coverage. It involves collectingand verifyinginformation, including income and contact details,as well as other requested information or documents related to determining eligibility based on your case.

The State of Georgia will have 14 months from April 1, 2023 to review all Medicaid and PeachCare for Kids® members’ cases to redetermine who is still eligible to receive coverage. 

When will Medicaid redetermination begin? 

In December 2022, Congress passed a federal spending bill that , officially permits states to begin Medicaid redetermination on April 1, 2023. At that time, Georgia will check who is still eligible to receive coverage. It is important that you update your contact information on gateway.ga.govso you can receive timely updates and communications about your coverage.  

What happens if I am no longer eligible for Medicaid?

If you are no longer eligible for Medicaid, you will be connected with other healthcare options. It is very important for you to update your contact information at gateway.ga.gov so you can receive this information.  

When is the deadline to update my contact information?

It is important that you update your contact information at gateway.ga.gov before April 1, 2023, so you can receive the information you need about your Medicaid status. Your individual redetermination process may begin anytime during the 14-month redetermination period, from April 1, 2023 to May 31, 2024. Do not be alarmed if you do not receive a notification during the first few months – just make sure you have the correct contact information in Gateway and wait patiently for your notification.

When is the deadline to update my contact information?

It is important that you update your contact information at gateway.ga.gov before April 1, 2023, so you can receive the information you need about your Medicaid status. Your individual redetermination process may begin anytime during the 14-month redetermination period, from April 1, 2023 to May 31, 2024. Do not be alarmed if you do not receive a notification during the first few months – just make sure you have the correct contact information in Gateway and wait patiently for your notification.

How do I apply to keep my Medicaid coverage?

The most important step right now is to update your contact information at gateway.ga.gov as soon as possible. You will then receive further instructions via email or U.S. mail when your case has been opened for redetermination.

How do I apply to keep my Medicaid coverage?

The most important step right now is to update your contact information at gateway.ga.gov as soon as possible. You will then receive further instructions via email or U.S. mail when your case has been opened for redetermination.

My children have health insurance through PeachCare for Kids®. Does this redetermination process affect them?

Yes. Anyone covered by Medicaid, including PeachCare for Kids®, must be redetermined for eligibility once redetermination begins on April 1, 2023. 

Gateway Website 

What if I cannot log in to my online account?

Follow the instructions at the top of this page in the section called “HELP! I am having trouble signing in or creating an account.” If you are still having trouble with your online account, we can help you in-person at one of our offices or by phone. Visit dfcs.georgia.gov/locations to find the location and business hours for your local office. If you need help reading this information or communicating with us, call 1-877-GA-DHS-GO (1-877-423-4746). Our services, including interpreters, are free. If you are deaf, hard of hearing, deaf-blind, or have difficulty speaking, you can call us at the number above by dialing 711 (Georgia Relay). 

I am locked out of Georgia Gateway. Who do I contact?

If you entered the wrong username or password too many times, the system may temporarily lock you out. From the login page at gateway.ga.gov, select “Forgot User ID” or “Forgot Password” to receive a one-time PIN delivered to your mobile phone or email to recover your username or password.  

If you need additional support, you can schedule an in-person appointment for support at your local Division of Family and Children Services office. To find the location and business hours for your local office, visit: dfcs.georgia.gov/locations. If you need help reading this information or communicating with us, ask us or call 1-877-GA-DHS-GO (1-877-423-4746). Our services, including interpreters, are free. If you are deaf, hard of hearing, deaf-blind, or have difficulty speaking, you can call us at the number above by dialing 711 (Georgia Relay). 

I am locked out of Georgia Gateway. Who do I contact?

If you entered the wrong username or password too many times, the system may temporarily lock you out. From the login page at gateway.ga.gov, select “Forgot User ID” or “Forgot Password” to receive a one-time PIN delivered to your mobile phone or email to recover your username or password.  

If you need additional support, you can schedule an in-person appointment for support at your local Division of Family and Children Services office. To find the location and business hours for your local office, visit: dfcs.georgia.gov/locations. If you need help reading this information or communicating with us, ask us or call 1-877-GA-DHS-GO (1-877-423-4746). Our services, including interpreters, are free. If you are deaf, hard of hearing, deaf-blind or have difficulty speaking, you can call us at the number above by dialing 711 (Georgia Relay). 

The Georgia Gateway site is not working for me. What should I do?

If you have issues accessing gateway.ga.gov, it may be because the site is down for scheduled maintenance. Please visit the site again later to update your contact information.

If you need additional support, you can schedule an in-person appointment for support at your local Division of Family and Children Services office. To find the location and business hours for your local office, visit: dfcs.georgia.gov/locations. If you need help reading this information or communicating with us, ask us or call 1-877-GA-DHS-GO (1-877-423-4746). Our services, including interpreters, are free. If you are deaf, hard of hearing, deaf-blind, or have difficulty speaking, you can call us at the number above by dialing 711 (Georgia Relay).

The Georgia Gateway site is not working for me. What should I do?

If you have issues accessing gateway.ga.gov, it may be because the site is down for scheduled maintenance. Please visit the site again later to update your contact information.

If you need additional support, you can schedule an in-person appointment for support at your local Division of Family and Children Services office. To find the location and business hours for your local office, visit: dfcs.georgia.gov/locations. If you need help reading this information or communicating with us, ask us or call 1-877-GA-DHS-GO (1-877-423-4746). Our services, including interpreters, are free. If you are deaf, hard of hearing, deaf-blind, or have difficulty speaking, you can call us at the number above by dialing 711 (Georgia Relay).

How do I know if I have entered my information correctly?

When you have successfully created a profile or updated your information at gateway.ga.gov, you will receive a confirmation “T number” (tracking number) in your customer Georgia Gateway account. Remember to write it down for later use. If needed, you can retrieve your “T number” from the Manage My Account” page of the Georgia Gateway. 

How do I know if I have entered my information correctly?

When you have successfully created a profile or updated your information at gateway.ga.gov, you will receive a confirmation “T number” (tracking number) in your customer Georgia Gateway account. Remember to write it down for later use. If needed, you can retrieve your “T number” from the Manage My Account” page of the Georgia Gateway. 

I filled out a paper application for Medicaid and have never used the website. Should I still create an account?

Yes, right away! Creating an account at gateway.ga.gov is the easiest and fastest way for Medicaid representatives to contact you about your coverage.  

I filled out a paper application for Medicaid and have never used the website. Should I still create an account?

Yes, right away! Creating an account at gateway.ga.gov is the easiest and fastest way for Medicaid representatives to contact you about your coverage.  

Other

What if I do not speak English?

This website is available in Spanish at siemprecubierto.ga.gov.  For other languages, please visit gateway.ga.gov and click one of the language selections. You can also call 1-877-GA-DHS-GO (1-877-423-4746). Our services, including interpreters, are free.

Note: The redetermination process does not guarantee any person’s eligibility for Medicaid or other available coverage.