Medicaid is a program that provides health care services to individuals who meet the requirements for income, resources, and citizenship. Cooperation with Georgia Department of Human Services Division of Child Support Services is a requirement of receiving certain types of Medicaid. Individuals may apply for Medicaid at any local Division of Family and Children Services office, by mail or by telephone (1.877.423.4746).
Apply for Medicaid
Step 1: Get Prepared
Review Medicaid Fact Sheets and What do I need to apply for Medicaid? You can also visit Georgia Gateway to see if you are potentially eligible for benefits.
Step Two: Complete and Submit an Application
Download the application:
English: Form 94A
Spanish/Español: Form 94A
OR
Request a paper application by visiting your local DFCS office or by calling the Customer Contact Center at 1.877.423.4746.
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 the DFCS.
Additional Medicaid Information
How do I use my Medicaid Services?
Health Insurance Options FAQ's
Health Insurance Options FAQ's - in Espanol
Family Medicaid Fact Sheet
Aged, Blind, and Disabled Medicaid Fact Sheet
Form 508 - Food Stamp/Medicaid/TANF Renewal Form