Georgia Pathways to CoverageTM (Pathways) is a Medicaid eligibility category in Georgia that launched in July 2023. Pathways seeks to increase access to affordable, quality healthcare coverage, lower the uninsured rate across Georgia, support participating members on their journeys to financial independence, and promote members’ transitions from Medicaid into private coverage.
As trusted healthcare providers in Georgia, we are often the first points of contact for uninsured and underinsured individuals who may be eligible for Pathways. Helping uninsured Georgians apply for and get enrolled in Pathways would increase reimbursement on services we render to these currently uninsured individuals. We hope that by promoting this program and enrolling more Georgians in healthcare coverage, we can play a part in increasing access to affordable healthcare, and promoting financial stability for hospitals, healthcare systems, and the state. To learn more and to find downloadable resources, please visit pathways.georgia.gov.
Georgians can apply through the Gateway Customer Portal online at gateway.ga.gov.
If you are interested in learning about how you can help enroll Georgians in healthcare coverage, please reach out to the Pathways outreach team at [email protected].
Pathways Eligibility:
To be eligible for Pathways, an applicant should:
- 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). For example, in 2024, this equals:
- $15,060 per year or $1,255 on average per month for one person
- $25,820 per year or $2,151 on average per month for a family of three
- Prove that you are doing at least 80-hours of qualifying activities per month
For Pathways applicants fulfilling the requirement through higher education, current college course-load credit hours will be granted qualifying activity hours as following:
- At least 11.5 credit hours will count as 80 hours per month
- Between 5.50 and 11.49 credit hours will count as 40 hours per month
- Between 0.01 and 5.49 credit hours will count as 20 hours per month
- Not qualify for any other type of Medicaid
- Not be incarcerated
View Georgia Pathways Step-by-Step Application Instruction video.