A snapshot of applying for Medicaid [May 2008]

A SNAPSHOT OF
Applying For Medicaid

Applying for Medicaid
To apply for Medicaid, you must submit a completed application by mail, telephone, fax or email at any local Division of Family and Children Services (DFCS) or at designated agencies.
A list of DFCS locations, contact information and Medicaid applications (English or Spanish) are available online at http://www.dhr.georgia.gov/portal/site/DHR/. Applications can be submitted by mail, telephone,fax, or e-mail to DFCS or to other designated agencies.
Basic Medicaid Requirements
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 (SSN) 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 SSN Residency Assignment of medical benefits to DMA Living with a specified relative (for Low Income Medicaid {LIM} and Newborn only)
Definition of Income
Income is defined as all money, earned or unearned, cash or any type of support received from any source by you or your household that can be used to meet basic needs for food, clothing or shelter. Income is considered on a monthly basis and is used to determine financial eligibility and benefit level.
Income Verification
Verification of income can be provided in a variety of ways, including: Pay stubs Award letter

2 Peachtree Street, Atlanta, Ga 30303 www.dch.georgia.gov

May 2008

A Snapshot Of Applying For Medicaid
Written statement from source Computer match Copy of check reflecting gross income Form 809 - Wage Verification Form
For some Medicaid programs your statement of the source and amount of income, earned or unearned, may be accepted unless questionable. For others, all income must be verified. Verification of income is required when information available to the agency contradicts your statement or your statement is otherwise questionable.
Maximum Value of Resource The appropriate resource limit depends on several factors including the Medicaid program for which you are applying.
You have the primary responsibility for providing verification to support statements or to resolve questionable information. You will be given sufficient time to verify information. The agency will assist you in obtaining verification when assistance is requested.
Timeframe to Receive Medicaid
Applications are registered within 24 hours of receipt by the agency. The date of application is when the form is received by the county office, whether in person or by mail. When received via Internet or fax, the date of application is when the form was transmitted. The eligibility determination for Medicaid will be completed within the following timeframe:
10 days from the date of application for pregnant women 10 days from the date of report of a newborn 45 days from the date of application for all other Medicaid programs including Emergency Medicaid
Assistance (EMA) for pregnant woman 60 calendar days beginning with the application date for disabled applicants 10 working days beginning with the application date for all Qualified Medicare Beneficiaries (Q-
Track) applicants