Georgia Medicaid Eligibility Calculator (2026)

Pathways, year by year

Pathways began July 1, 2023 under a waiver first approved in 2020. CMS granted a temporary extension through 2026 on September 23, 2025, letting parents of children under six with income at or below 100% of the poverty line keep coverage without the work requirement and replacing monthly reporting with annual reporting. In August 2026 Georgia began asking CMS for the 90% expansion match for Pathways.^[KFF]

From January 1, 2027 Pathways follows the federal community-engagement rules: earning at least $580 a month counts, parents of a child 13 or younger are exempt, and current members are affected at their 2027 renewal.^[state]

Parents and children

Outside Pathways, the parent/caretaker group uses a dollar table — $662 a month for three including the disregard — and there is no budget group of one.^[state] Babies are covered in Medicaid to 205% of the poverty line, toddlers to 149%, older children to 133%, and PeachCare for Kids carries them to 247%.^[state]

After birth

Georgia’s 12-month postpartum extension was approved on October 27, 2022.^[KFF] Pregnancy coverage runs to 225% of the poverty line with the disregard, and from January 2027 a woman within her postpartum year is excluded from Pathways’ community-engagement rule.^{[state][state]}

Applying

Use Georgia Gateway or a DFCS office. Pregnancy coverage reaches 220% of the poverty line; older adults have a medically needy spend-down at about 24%.^{[state][MACPAC]}