Basic Eligibility Criteria

A/Rs must meet the following basic eligibility requirements:

Age – Must be an adult age 19 through 64. Refer to Section 2255 - Age (Family Medicaid) .

Citizenship/Immigration/Identity – A/R must be a U.S. citizen or meet immigration eligibility requirements. Refer to Section 2215 - Citizenship/Immigration/Identity .

Enumeration – A/R must furnish, apply for, or agree to apply for a Social Security Number (SSN) for each member, unless Good Cause for SSN is established, or will be penalized. Refer to Section 2220 - Enumeration .

Tax Filer and Non-Tax Filer Status – A/Rs expected to be included on the next tax return filed are potentially eligible to receive MAGI Medicaid. A/Rs that meet non-tax filer criteria are potentially eligible to receive MAGI Medicaid. Refer to Section 2245 - Living With A Specified Relative/Tax Filer/Non-Filer Status .

Residency - AU members must be residents of Georgia and not incarcerated in a public institution. Refer to Section 2225 - Residency .

Third Party Liability Requirements – The A/R is required to provide information regarding any Third-Party Liability (TPL) available to any Potential Pathways member. The A/R must assign his or her TPL rights to DCH, unless Good Cause for TPL exists. Refer to Section 2230 - Third Party Liability .

Potential Pathways Member is not eligible for any other Medicaid class of assistance (Family or ABD).

Although Application for Other Benefits is not an eligibility requirement for Medicaid, the A/R should be notified of potential benefits if applicable.