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DCH: Georgia Pathways enrollment limited so far; most denials due to income above eligibility

2174439 · January 29, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Department of Community Health officials told the Senate committee that Georgia Pathways — the state's Medicaid waiver program — has lower active enrollment than potential eligibility estimates, that most denials are due to applicants being over income, and that outreach and system delays limited rollout.

Grant Thomas of the Georgia Department of Community Health described Georgia Pathways as one component of the state's Patients First Act framework and told the Senate Health and Human Services Committee that Pathways launched in July 2023.

"The Georgia Pathways program launched in July of 2023," Grant Thomas said, and he described Pathways as targeting adults age 19 to 64 with household incomes at or below 100% of the federal poverty level. Thomas told members that in simple terms the 100% FPL threshold equates to about $15,650 a year for an individual and about $26,650 for a family of…

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