Disability-Based Medicaid
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How to Sign Up
Application
Depending on how you qualify for disability-based Medicaid, there are different ways to sign up.
If you qualify for Supplemental Security Income (SSI), you should sign up for it by applying with Social Security, because you'll get monthly cash payments and automatic Medicaid coverage. Learn how to apply for SSI.
If you qualify for Medicaid by other rules, if you're not sure how you might qualify, or if you already applied for SSI and are waiting for your benefits to start, you can apply for Medicaid in a few ways:
- Online using Georgia Gateway. Georgia Gateway lets you apply for other programs, like the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF), at the same time.
- In person at your local Division of Family and Children Services (DFCS) office.
- By downloading the Application for Benefits (Form 297), completing it, and faxing or mailing it to your local Division of Family and Children Services (DFCS) office.
Note: For information about how to apply for a specific Medicaid waiver program, read DB101's article about waivers.
If you don't think you will qualify for Medicaid, or if you only qualify for Medicaid with a spenddown, you can use Georgia Access to learn about your public and private options.
When you apply for health coverage on Georgia Access, it will tell you if you can get private coverage with subsidies. If you may be eligible for Medicaid, Georgia Access will send your information to your local Division of Family and Children Services (DFCS) office, and they will reach out to you about enrolling.
To learn more about getting government subsidies for private health plans, read DB101’s article about buying health coverage on Georgia Access.
Retroactive Coverage
When you apply for disability-based Medicaid, you can ask to have your coverage begin up to three months before the month you apply, as long as you were also eligible for Medicaid in those months. So if you apply for Medicaid in April but have unpaid medical bills from the previous three months (January, February, and March), you could have Medicaid pay for those medical bills.
If you need help applying for Medicaid, try the following options:
- Visit or call your local Division of Family and Children Services (DFCS) office.
- Get local help from Georgia Access.
- If you have a disability, talk to a benefits expert to learn more about health programs for people with disabilities.
- Call the Customer Contact Center toll free at 1-877-423-4746.
Staying on Medicaid
If you get Medicaid through SSI, your Medicaid coverage will continue as long as you get benefits. If your situation changes, like your income, resources, or living situation, it could affect your SSI benefits. Learn more about reporting changes to Social Security.
If your benefits go down to zero because you go back to work, you may be able to keep your Medicaid coverage through SSI's 1619(b) rule. Learn more about getting Medicaid through 1619(b).
Reporting Changes
If you don't get Medicaid automatically through SSI or 1619(b), you will usually continue to get it for 12 months after you are approved if your situation does not change. Every 12 months, Medicaid will take a look at your situation and make sure you still qualify.
If your income, resources, disability status, immigration status, residency, or household size changes, report the change to your local Division of Family and Children Services (DFCS) office. Your caseworker will tell you whether you will continue getting Medicaid or if you have new health coverage options. You can also report changes using Georgia Gateway.
Joe had been getting SSI for several years when his health improved and he decided to go back to work. After he started working, his income increased to $3,042 per month ($36,508 a year) causing his monthly SSI benefit to drop to zero.
Even though his income is now higher than the SSI income limit, he is still eligible for Medicaid through 1619(b) because his annual income is less than $38,308.
Learn more
Medicaid Waiver Programs
Medicaid waiver programs help people with disabilities live in the community.
Long-Term Services and Supports Programs
Learn about programs that can help you live in a home in the community.
Personal Assistance Services
Personal Care Assistants offer services that help you with daily life.
Get Expert Help
SSI and SSDI
How Work Affects SSI and SSDI
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Call the Ticket to Work Help Line
1-866-968-7842
Medicaid
Medicare
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Call Medicare
1-800-633-4227 -
Call the Georgia State Health Insurance Assistance Program (SHIP)
1-866-552-4464, Option 4
Work Preparation
- Contact your Vocational Rehabilitation (VR) office
- Contact your local WorkSource Georgia Center
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