Medicaid

*If you need help reading this information or communicating with us, ask us or call 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).

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.

Additional Medicaid Information
How do I use my Medicaid Services?

1. Get Prepared

Review What do I need to apply for Medicaid ? You can also visit Georgia Gateway to see if you are potentially eligible for benefits.

2. Complete and Submit an Application

Download Form 94A below.
(If needed, a link to Georgia's Voter Registration is also included below):

• EnglishForm 94A Standard Font
  • Georgia’s Voter Registration
  • Georgia’s Voter Registration
  • Sistema de registro de votantes de Georgia
  • Sistema de registro de votantes de Georgia

  OR

  Download a Form 297 below.
  (If needed, a link to Georgia's Voter Registration is also included below):

  • English Standard Font:
    • Form 297 – Application for Benefits
      • Form 297A - Rights and Responsibilities
      • Form 297 Large Print – Application for Benefits
        • Form 297A Large Print – Rights and Responsibilities
        • Forma 297 - Solicitud para beneficios
          • Forma 297A - Derechos y Responsabilidades
          • Forma 297 – Solicitud para beneficios
            • Forma 297A Letra grande - Derechos y Responsabilidades

            SNAP (Food Stamp) Form 297 – Application for SNAP, TANF and Medicaid in other languages:

            • العربية-297 (Arabic)
              • نموذجتسجيلالناخبينفيجورجيا
              • Prijava za registraciju glasača u državi Džordžija
              • ဂျော်ဂျီယာပြည်နယ်မှ မဲပေးသူများ မှတ်ပုံတင်ရန် လျှောက်လွှာ
              • 乔治亚州选民登记申请
              • درخواست ثبت نام رای دهنده جورجیا
              • Demande d'inscription d'électeur de Georgia
              • જ્યોર્જિયાની મતદાર નોંધણી એપ્લિકેશન
              • जॉर्जिया का मतदाता पंजीकरण आवेदन
              • ジョージアの有権者登録申請書
              • 조지아주의 투표인 등록 신청
              • जर्जियाको भोटर रजिष्ट्रेशन आवेदन
              • Solicitação de registro de votante de Georgia
              • Регистрация заявления избирателя штата Джорджии
              • Đơn Đăng ký Cử tri Georgia

              Form 297A - Rights and Responsibilities in other languages:

              • العربية-297A (Arabic)
                • نموذجتسجيلالناخبينفيجورجيا
                • Prijava za registraciju glasača u državi Džordžija
                • ဂျော်ဂျီယာပြည်နယ်မှ မဲပေးသူများ မှတ်ပုံတင်ရန် လျှောက်လွှာ
                • 乔治亚州选民登记申请
                • درخواست ثبت نام رای دهنده جورجیا
                • Demande d'inscription d'électeur de Georgia
                • જ્યોર્જિયાની મતદાર નોંધણી એપ્લિકેશન
                • जॉर्जियाकामतदातापंजीकरणआवेदन
                • ジョージアの有権者登録申請書
                • 조지아주의 투표인 등록 신청
                • जर्जियाको भोटर रजिष्ट्रेशन आवेदन
                • ​​​​​​​Solicitação de registro de votante de Georgia
                • ​​​​​​​​​​​​​​Регистрация заявления избирателя штата Джорджии
                • Đơn Đăng ký Cử tri Georgia

                OR

                Self-service application options:

                Online: Log on to Georgia Gateway at https://gateway.ga.gov/ to apply for benefits. Available 24/7.

                By Phone: Call the Customer Contact Center at (877) 423-4746 to submit an application by telephone.

                An application is considered filed when it has the name of the head of household, address, date and signature of the head of household or another household member and is received by DFCS.

                Notice of Free Interpretation Services
                If you have difficulty communicating with us because you do not speak English or have a disability, please notify a staff person. Free interpretation services, translated materials or other assistance is available upon request.

                For additional support with requesting large print versions of DFCS applications, please visit https://dfcs.georgia.gov/adasection-504-and-civil-rights .

                DFCS Reasonable Modifications and Communication Assistance Request Form for Persons with Disabilities

                Do you have a disability and need a reasonable modification or communication assistance to access DFCS services? Click here to request a reasonable modification, communication assistance, extra help or to learn more about the rights of customers with disabilities.

                Medicaid Benefit Renewal

                All benefits recipients are required to undergo periodic review of continued program eligibility. A renewal form and any required accompanying verification can be submitted in Georgia Gateway or by using Form 508 – the FOOD STAMP/MEDICAID/TANF Renewal Form. (A link to Georgia's Voter Registration Application is also included below.)

                • English:Form 508 Standard Font
                  • Georgia’s Voter Registration
                  • Georgia’s Voter Registration
                  • Sistema de registro de votantes de Georgia
                  • Sistema de registro de votantes de Georgia

                  Form 508 – Food Stamp / Medicaid / TANF Renewal Form in other languages:

                  • 508-العربية (Arabic)
                    • نموذج تسجيل الناخبين في جورجيا
                    • Prijava za registraciju glasača u državi Džordžija
                    • ဂျော်ဂျီယာပြည်နယ်မှ မဲပေးသူများ မှတ်ပုံတင်ရန် လျှောက်လွှာ
                    • 乔治亚州选民登记申请
                    • درخواست ثبت نام رای دهنده جورجیا
                    • Demande d'inscription d'électeur de Georgia
                    • જ્યોર્જિયાની મતદાર નોંધણી એપ્લિકેશન
                    • जॉर्जिया का मतदाता पंजीकरण आवेदन
                    • ジョージアの有権者登録申請書
                    • 조지아주의 투표인 등록 신청
                    • जर्जियाको भोटर रजिष्ट्रेशन आवेदन
                    • Solicitação de registro de votante de Georgia
                    • Регистрация заявления избирателя штата Джорджии
                    • Đơn Đăng ký Cử tri Georgia

                    Notice of Class Action Settlement

                    The Georgia Department of Human Services and the Department of Community Health have entered into a settlement agreement for a federal lawsuit involving individuals in Georgia who are receiving Supplemental Security Income (SSI) Mediciaid benefits because they receive SSI benefits. The following documents describe the lawsuit and the settlement:
                    - Class Notice
                    - Supplemental Notice
                    - Settlement Agreement
                    - Court Order Preliminary Approval of Settlement Agreement
                    - Fairness Hearing Zoom Link

                    Voter Registration Information:

                    Register Online: To apply to register to vote where you live now, visit sos.ga.gov .

                    Print an application: You may print an application by visiting sos.ga.gov .

                    If you want a Georgia Voter Registration application mailed to you, you may call the Georgia Secretary of State’s office at 404-656-2871, call DFCS’ Customer Contact Center at 877-423-4746, or visit sos.ga.gov .

                    Non-Discrimination Statement

                    The Georgia Department of Human Services (“DHS”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, religion, or sex (including pregnancy, sexual orientation, and gender identity). DHS does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity).

                    DHS provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters, written information in other formats (large print, audio, accessible electronic formats, other formats). DHS provides free language services to people whose primary language is not English, such as qualified interpreters, information written in other languages.

                    If you believe that DHS has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity), you can file a discrimination complaint with DHS.

                    You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

                    U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at www.hhs.gov/ocr/complaints/index.html.

                    You may also file discrimination complaints by contacting your local DFCS office, or the DFCS Civil Rights and ADA/Section 504 Coordinator at: 47 Trinity Ave. S.W., Atlanta, Georgia 30334, 404-657-3735. For complaints alleging discrimination based on limited English proficiency, contact the DHS Limited English Proficiency and Sensory Impairment Program at: 47 Trinity Ave. S.W., Atlanta, Georgia 30334,​​​​​​​ or call 404-657-5244 (voice).