Out-of-State Application for Three months Prior Medicaid for a Former Georgia Resident

An application may be filed for medical services received as a Georgia resident even if the individual subsequently moved out of state.

Complete all necessary forms. Forms can be mailed to the applicant.

Determine eligibility using the appropriate Class of Assistance (COA). Refer to 2053 Retroactive Medicaid .

If eligible, send notification of the decision and certification of Medicaid eligibility.