FAQs

When will Medicaid redetermination begin?

The process has already begun. Starting April 1, 2023, Georgia began reviewing who’s still eligible for Medicaid coverage. Your individual process might happen at any point within the 14-month period, running from April 1, 2023, to May 31, 2023.

What does the process entail? 

A letter or email will arrive 45 days before your deadline. This is your heads-up that it’s time to review your coverage. The message you receive will contain clear instructions on how to update or send in your necessary documents before your deadline. To make sure you don’t lose coverage, it’s essential to complete the steps outlined in your letter as soon as possible.

Unfortunately, you can’t start the redetermination process until you receive an email or letter confirming that your redetermination window has begun.

What if I miss the deadline?

If you missed your redetermination deadline, you can still submit your documents within 90 days to have your case reviewed again. If you’re found eligible, your coverage will be restored and made active from your original determination date. That way, you’re covered for any medical expenses you incurred during the waiting period.

How long do I have to submit required documentation?

You will be notified of your redetermination deadline 45 days prior, and you will also receive a reminder roughly 15 days before your deadline.

What do I do if I’m denied coverage?

If you believe the denial was a mistake, you can ask for a Fair Hearing within 30 days from the date of denial. After requesting a Fair Hearing, you’ll get a letter in the mail. It will tell you when and where the hearing will be held. At the hearing, you can speak up and provide evidence, such as receipts and bills, to support your side of the story.

If you’ve verified that you’re no longer eligible for Medicaid or PeachCare for Kids benefits and need healthcare coverage, consider Georgia Pathways to Coverage. This new program is specifically designed to assist low-income Georgians in qualifying for Medicaid, even if they wouldn’t typically meet the criteria for traditional Medicaid. Visit dch.georgia.gov/georgiapathways to get all the information you need and secure your coverage today!