Georgia Medicaid Income Limits 2026: Pathways to Coverage and Other Groups

Georgia has not expanded Medicaid to all adults, and its only adult group in the 2026 materials is Georgia Pathways to Coverage, for adults 19 to 64 with income up to 100% of the federal poverty level: $1,330 a month for one person and $2,750 for a household of four, plus 80 hours a month of qualifying activities. Children and pregnant women have separate limits shown below. Every figure below comes from the state agency's own chart, effective 03/01/2026 for the Appendix A2 groups (MT 80); the Pathways chart is headed "Maximum Household Income Guidelines 2026", not from federal averages or the old Medicaid.gov table.

Maintained by Archie Chang · Charts and sources checked October 30, 2026 · Methodology & sources

Check your income

$

Enter the whole household's countable income. States count income with MAGI rules, so this is a starting point, not a decision.

Result

Your income is above Georgia's chart amount for this group.

Your income, a year
$18,000
Household size used in the chart
1
Georgia chart amount, a year, 100% (Georgia Pathways)
$15,960
Georgia chart amount, a month
$1,330

Another group, a different household count or income that the state counts differently could still lead to coverage, and Medicaid for people who are 65 or older or have a disability uses different rules.

This is not an eligibility decision. Georgia Department of Community Health (DCH) decides what income counts (MAGI rules), who is in the household and the final result. Apply to find out: gateway.ga.gov (DFCS).

Georgia Medicaid income limit chart, 2026

Monthly and annual limits by household size for each group the Georgia Department of Community Health (DCH) prints. Bold figures are printed by the state; italic figures are FedRateCalc's calculation (a monthly figure times 12, an annual figure divided by 12). The state chart effective date is 03/01/2026 for the Appendix A2 groups (MT 80); the Pathways chart is headed "Maximum Household Income Guidelines 2026".

Medicaid income limits by household size and coverage group
Household sizePathways to Coverage, adults 19 to 64 (80 hours a month of qualifying activities)100% (Georgia Pathways)Effective 2026 (the chart is headed "Maximum Household Income Guidelines 2026")Parent / Caretaker with Children (Plus 5% column)dollar limits plus 5% (chart total)Effective 03/01/2026 (Appendix A2)Pregnant women ("220% PGW Newborn" column, Plus 5%)220% plus 5% (225%)Effective 03/01/2026 (Appendix A2)Children 0-1 ("205% Child 0-1 TMA" column, Plus 5%)205% plus 5% (210%)Effective 03/01/2026 (Appendix A2)Children 1-5 ("149% Child 1-5" column, Plus 5%)149% plus 5% (154%)Effective 03/01/2026 (Appendix A2)Children 6-19 ("133% Child 6-19" column, Plus 5%)133% plus 5% (138%)Effective 03/01/2026 (Appendix A2)PeachCare for Kids ("247% PCK" column, Plus 5%)247% plus 5% (252%)Effective 03/01/2026 (Appendix A2)
1$1,330 a month$15,960 a yearnot listednot listed$2,792 a month$33,504 a year$2,047 a month$24,564 a year$1,835 a month$22,020 a year$3,351 a month$40,212 a year
2$1,803 a month$21,640 a year$546 a month$6,552 a year$4,058 a month$48,696 a year$3,788 a month$45,456 a year$2,778 a month$33,336 a year$2,489 a month$29,868 a year$4,545 a month$54,540 a year
3$2,277 a month$27,320 a year$662 a month$7,944 a year$5,122 a month$61,464 a year$4,780 a month$57,360 a year$3,505 a month$42,060 a year$3,141 a month$37,692 a year$5,737 a month$68,844 a year
4$2,750 a month$33,000 a year$787 a month$9,444 a year$6,187 a month$74,244 a year$5,774 a month$69,288 a year$4,234 a month$50,808 a year$3,794 a month$45,528 a year$6,929 a month$83,148 a year
5$3,223 a month$38,680 a year$909 a month$10,908 a year$7,253 a month$87,036 a year$6,770 a month$81,240 a year$4,964 a month$59,568 a year$4,449 a month$53,388 a year$8,124 a month$97,488 a year
6$3,697 a month$44,360 a year$1,006 a month$12,072 a year$8,317 a month$99,804 a year$7,762 a month$93,144 a year$5,692 a month$68,304 a year$5,101 a month$61,212 a year$9,315 a month$111,780 a year
7$4,170 a month$50,040 a year$1,106 a month$13,272 a year$9,382 a month$112,584 a year$8,756 a month$105,072 a year$6,421 a month$77,052 a year$5,754 a month$69,048 a year$10,508 a month$126,096 a year
8$4,643 a month$55,720 a year$1,196 a month$14,352 a year$10,448 a month$125,376 a year$9,752 a month$117,024 a year$7,151 a month$85,812 a year$6,408 a month$76,896 a year$11,702 a month$140,424 a year
  • Pathways to Coverage, adults 19 to 64 (80 hours a month of qualifying activities): Appendix A2 labels Pathways "95% Pathways" plus 5%, and prints $2,276 rather than $2,277 for three people; this table shows the DCH Pathways FAQ chart.
  • Parent / Caretaker with Children (Plus 5% column): Appendix A2 says a budget group of one does not exist for Parent/Caretaker with Child(ren) Medicaid, and prints no usable household-of-1 limit here.
  • Pregnant women ("220% PGW Newborn" column, Plus 5%): Appendix A2 says a budget group of one does not exist for Pregnant Woman Medicaid, so the chart starts at a household of 2.
  • The DFCS Medicaid Policy Manual, Appendix A2 "Family Medicaid Financial Limits 2026 (effective 03/01/2026)", MT 80, prints a base column and a "Plus 5%" column for each group. This page uses the Plus 5% columns, each equal to the base plus 5% of the monthly guideline, so the checker adds nothing on top. A2 says a budget group of one does not exist for Parent/Caretaker with Child(ren) Medicaid or Pregnant Woman Medicaid.
  • Georgia Medicaid's Eligibility FAQ, which prints no date, says pregnant women and infants under age one qualify at or below 220 percent. Appendix A2 prints 205% for "Child 0-1" and 220% for "PGW Newborn" and the pregnant-women ceiling is 220 percent on the Family Medicaid page, so this page follows A2: 205% for children 0-1 and 220% for pregnant women.
  • The DCH PeachCare for Kids page says its amounts are based on 247 percent of the Federal Poverty Guidelines and are updated annually, but its table still carries amounts that equal 247 percent of the 2024 guideline ($15,060 for one person), not 2026; this page shows the 2026 "247% PCK" column of Appendix A2 instead.
  • The Pathways page lists the requirements for an applicable individual (age 19 to 64, income at or below 100% of the federal poverty level, not pregnant, not on Medicare and not otherwise eligible for another Medicaid group) and says they are not changing for Pathways.
  • Georgia's Pathways chart prints monthly figures rounded to a dollar ($1,803 for two, $4,643 for eight) and says households of more than eight add $5,680 a year for each additional person.

Chart sources: Georgia DFCS: Medicaid Policy Manual, Appendix A2 Family Medicaid Financial Limits 2026 (effective 03/01/2026, MT 80); Georgia Pathways to Coverage: General Frequently Asked Questions (Maximum Household Income Guidelines 2026).

How Georgia counts the 5 percent disregard

Federal rules tell states to subtract 5 percentage points of the poverty level from income for the eligibility group with the highest income standard. That is why some state charts print a percentage such as 133% and others print the total, such as 138%.

“Effective January 1, 2014, in determining the eligibility of an individual using MAGI-based income, a state must subtract an amount equivalent to 5 percentage points of the Federal poverty level for the applicable family size only to determine the eligibility of an individual for medical assistance under the eligibility group with the highest income standard using MAGI-based methodologies in the applicable Title of the Act, but not to determine eligibility for a particular eligibility group.”
42 CFR 435.603(d)(4) (source)

In Georgia's chart, the amounts for Parent / Caretaker with Children (Plus 5% column); Pregnant women ("220% PGW Newborn" column, Plus 5%); Children 0-1 ("205% Child 0-1 TMA" column, Plus 5%); Children 1-5 ("149% Child 1-5" column, Plus 5%); Children 6-19 ("133% Child 6-19" column, Plus 5%); PeachCare for Kids ("247% PCK" column, Plus 5%) already include the 5 points, so the table shows the total and the checker above has no separate step for them.

The household size in the chart for a pregnant woman counts the children she is expected to deliver:

“In the case of determining the family size of a pregnant woman, the pregnant woman is counted as herself plus the number of children she is expected to deliver. In the case of determining the family size of other individuals who have a pregnant woman in their household, the pregnant woman is counted, at State option, as either 1 or 2 person(s) or as herself plus the number of children she is expected to deliver.”
42 CFR 435.603(b), definition of family size (source)

Georgia Medicaid programs and expansion

Georgia has not expanded Medicaid to all adults at 133% of the federal poverty level. Medicaid.gov's table, as of December 1, 2023, shows "No" for Georgia in the column for expansion to adults, and Georgia offers Pathways to Coverage, a Medicaid program for adults 19 to 64 up to 100% of the federal poverty level who complete 80 hours of qualifying activities a month and do not qualify for any other type of Medicaid.

  • Georgia Pathways to Coverage. A category of Medicaid with its own rules: adults 19 to 64 with household income up to 100% of the federal poverty level, 80 hours a month of qualifying activities, and no eligibility for any other type of Medicaid. The Pathways page says its requirements change January 1, 2027.
  • Right from the Start Medicaid (RSM) and Medicaid for children. Georgia Medicaid's Family Medicaid page lists Medicaid (RSM) for pregnant women, Medicaid for children under 19 and Medicaid for parents and caretakers with children, and says the pregnant women program uses 220 percent of the federal poverty level as its ceiling. Appendix A2 prints the 2026 dollar limits for these groups.
  • PeachCare for Kids. Georgia DCH says PeachCare for Kids is for children age 18 and under, with limits based on 247 percent of the federal poverty guidelines. The table on that page is out of date (see the notes below), so this page shows the 247% column of Appendix A2.

How to apply for Medicaid in Georgia

Georgia's Pathways page says members can report changes, check the status of benefits and renew benefits online at gateway.ga.gov, or by phone at 877-423-4746 (Division of Family and Children Services, DFCS). You can also apply through HealthCare.gov.

gateway.ga.gov (DFCS) · HealthCare.gov Medicaid and CHIP

Georgia Medicaid changes in 2027

Georgia's Pathways page says the Pathways eligibility requirements change on January 1, 2027 and that current members will not be affected until renewal in 2027; it says the requirements for an applicable individual, including income at or below 100% of the federal poverty level, are not changing for Pathways, and it describes only Pathways, not the traditional Medicaid groups.

“This program offers Medicaid coverage to eligible Georgians ages 19-64 who have a household income of up to 100% of the Federal Poverty Level (FPL). For example, in 2026, this equals $15,960 per year or $1,330 on average per month for one person, and $27,320 per year or $2,277 on average per month for a family of three. Eligible Georgians are not otherwise eligible for traditional Medicaid and meet the qualifying activities threshold. Qualifying activity requirements will only apply to Pathways and not those who are enrolled in other Georgia Medicaid programs.”
Georgia Pathways to Coverage, About Pathways (source)
“Beginning on January 1, 2027, the Georgia Pathways to Coverage eligibility requirements will change due to federal law (Working Families Tax Cut/H.R. 1 legislation). Current Pathways members will not be affected until renewal in 2027.”
Georgia Pathways to Coverage, H.R. 1 Changes to Pathways (source)
“Like the current program, individuals are required to demonstrate at least 80 hours per month of certain activities.”
Georgia Pathways to Coverage, H.R. 1 Changes to Pathways (source)
“For certain applicable individuals, there are new exemptions from completing the community engagement requirements.”
Georgia Pathways to Coverage, H.R. 1 Changes to Pathways (source)
“The term `applicable individual' means an individual (other than a specified excluded individual (as defined in clause (ii)))-- (I) who is eligible to enroll (or is enrolled) under the State plan under subsection (a)(10)(A)(i)(VIII); or (II) who-- (aa) is otherwise eligible to enroll (or is enrolled) under a waiver of such plan that provides coverage that is equivalent to minimum essential coverage (as described in section 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and as determined in accordance with standards prescribed by the Secretary in regulations); and (bb) has attained the age of 19 and is under 65 years of age, is not pregnant, is not entitled to, or enrolled for, benefits under part A of title XVIII, or enrolled for benefits under part B of title XVIII, and is not otherwise eligible to enroll under such plan.”
Public Law 119-21, section 71119(a), new section 1902(xx)(9)(A)(i), the whole definition of an applicable individual (source)

Pathways is the Georgia program that Georgia's own page ties to this law, and the page describes the changes above. On the statute's wording, the requirement applies to individuals in the expansion adult group, and to individuals in a waiver group with coverage equivalent to minimum essential coverage who are 19 to 64, not pregnant, not entitled to or enrolled in Medicare and not otherwise eligible under the State plan. On that wording the requirement does not reach Georgia's traditional groups for children, pregnant women and parents and caretakers. This is FedRateCalc's reading of the statute; the state decides who is covered.

The federal law behind these changes, Public Law 119-21, is explained with its exemptions and dates on the Medicaid income limits page. The income limits in the table above do not change because of it.

Frequently asked questions

What is the Georgia Medicaid income limit in 2026?

Georgia has not expanded Medicaid to all adults, and its only adult group in the 2026 materials is Georgia Pathways to Coverage, for adults 19 to 64 with income up to 100% of the federal poverty level: $1,330 a month for one person and $2,750 for a household of four, plus 80 hours a month of qualifying activities. Children and pregnant women have separate limits shown below.

Did Georgia expand Medicaid?

Georgia has not expanded Medicaid to all adults at 133% of the federal poverty level. Medicaid.gov's table, as of December 1, 2023, shows "No" for Georgia in the column for expansion to adults, and Georgia offers Pathways to Coverage, a Medicaid program for adults 19 to 64 up to 100% of the federal poverty level who complete 80 hours of qualifying activities a month and do not qualify for any other type of Medicaid.

How do I apply for Medicaid in Georgia?

Georgia's Pathways page says members can report changes, check the status of benefits and renew benefits online at gateway.ga.gov, or by phone at 877-423-4746 (Division of Family and Children Services, DFCS). You can also apply through HealthCare.gov.

What changes for Georgia Medicaid in 2027?

Georgia's Pathways page says the Pathways eligibility requirements change on January 1, 2027 and that current members will not be affected until renewal in 2027; it says the requirements for an applicable individual, including income at or below 100% of the federal poverty level, are not changing for Pathways, and it describes only Pathways, not the traditional Medicaid groups. The charts on this page are 2026 charts; the community engagement requirement and six-month renewals are separate from the income limits.

Do the same limits apply to Georgia seniors and people with disabilities?

No. Medicaid for people who are aged, blind or disabled uses different income and resource rules from the MAGI groups in this chart. Ask the Georgia Department of Community Health (DCH) or see Medicare vs Medicaid on this site.

How often does Georgia update its Medicaid income limits?

The charts follow the federal poverty guidelines, which HHS updates each year, and Georgia's chart took effect 03/01/2026 for the Appendix A2 groups (MT 80); the Pathways chart is headed "Maximum Household Income Guidelines 2026". FedRateCalc will look for Georgia's 2027 chart after HHS publishes the 2027 guidelines.

Related pages

FedRateCalc is not a government site and cannot decide eligibility. Charts change when the state updates them; confirm with the Georgia Department of Community Health (DCH) before relying on a figure.

Sources

All sources are government pages, read October 30, 2026. The Medicaid.gov table is dated December 1, 2023 and is used only as a cross-check.