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