Medicaid and PeachCare for Kids® Members During Redetermination
Partners and providers play a critical role in helping Medicaid and PeachCare for Kids ® members navigate the redetermination process. Here are several ways to support individuals and families before, during and after their Medicaid eligibility is checked.
To assist a Medicaid member during redetermination, you must register to be an Authorized representative through the Georgia Department of Human Services (DHS). Once registered, Authorized representatives can provide continuous assistance to Medicaid members throughout the redetermination process, participate in benefit reviews, receive important notifications, and more.
Marcus is 20 years old and receives PeachCare for Kids® benefits. Marcus recently moved to a new apartment, so he goes online to Gateway to update his address.
In early June, Marcus receives an official email telling him he has aged out of his PeachCare for Kids® coverage and that his coverage will expire on July 31, 2023. He has time to review the Marketplace and select a new plan, so he won’t have a gap in coverage.
Marcus looks at the Marketplace offerings and is able to find and sign up for a similar healthcare plan to the one he had with PeachCare for Kids®.
Alicia is 34 years old and has two school-aged children. She first applied for Medicaid benefits in 2020, when she lost her job for several months due to the pandemic. She checks Gateway and finds that her determination date is July 31, 2023.
In early June, Alicia receives a redetermination email, as well as a letter that explains she must provide proof-of-income documents so she can complete her family’s redetermination.
About a month later, Alicia receives an email and letter informing her that she and her children are still eligible for Medicaid and PeachCare for Kids® and their coverage has been renewed for one year. Alicia’s redetermination process is complete.