Procedures

Gateway will automatically screen each application or renewal for all Medicaid Classes of Assistance (COA).

A PeachCare for Kids® enrollee who becomes pregnant can apply for Pregnant Woman Medicaid. If the pregnant PCK enrollee is determined Pregnant Woman Medicaid eligible, then the PCK enrollee is no longer eligible to receive PCK.

If the PeachCare for Kids® enrollee’s pregnancy has ended by delivery or termination and the individual is in their 12-month postpartum period, then the PCK enrollee will remain PCK eligible through the last day of the month of their 12-month postpartum period regardless of any changes in circumstances that may affect eligibility (e.g. income, household composition, aging out, nonpayment of premiums or becoming Medicaid/SSI eligible).

If the PeachCare for Kids® enrollee voluntarily request closure of their PCK case during their 12-month postpartum period, the PCK enrollee would not be eligible for the remainder of their 12-month postpartum period if later approved for a Medicaid class of assistance.