What it Covers

Georgia Pathways to Coverage Medicaid pays for a broad range of medical services. If you’re not sure if a particular service is covered by Pathways, or if it requires prior authorization, ask your doctor or your Medicaid managed care organization.

Here is a list of the main services that Pathways Medicaid covers:

• Doctor visits
• Hospital stays
• Emergency services
• Prescriptions
• Lab and X-rays
• Family planning services
• Preventive services, including immunizations (shots)
• Mental health services
• Chronic disease management services
• Ambulance transportation for medical emergencies

For people ages 19 and 20, Pathways Medicaid also covers:

• Dental care
• Vision tests and glasses
• Hearing tests and hearing aids
• Other Early and Periodic Screening Diagnosis and Treatment (EPSDT) services, and
• Non-emergency medical transportation.

Pathways Medicaid usually does not cover long-term care services or nursing homes. To have Medicaid pay for long-term care services, you must qualify for disability-based Medicaid. Read DB101's article about disability-based Medicaid to see if you may be eligible, or contact your local Division of Family and Children Services (DFCS) office for more information.