Procedures

Follow the procedures below when notified of the birth of a child.

Establish that the mother was eligible for and receiving Medicaid on the day the child was born.

Approve Newborn Medicaid for the child on the system back to the month of birth. The child’s date of birth should be used as the application date.

If the child enters foster care, is adopted, or ceases to live with the mother for any other reason, close the existing Newborn case and register a case with the new guardian’s name and address. A new application is not required.

Screen in GAMMIS to determine if child was previously receiving as a presumptive Newborn (aid category 835) If so, link Gateway client ID numbers to GAMMIS member ID numbers.

Terminate Newborn Medicaid following timely notice at any time the child ceases to live in Georgia.

Establish the mother’s Medicaid eligibility for the month of the child’s birth by agency records or by the State Data Exchange for a SSI recipient.

Accept the parent’s or guardian’s or the Medicaid provider’s statement of the child’s date of birth, unless questionable.