Georgia Medicaid Program Overview
Enrollment, funding, and managed care facts for Georgia Medicaid.
Get Georgia's Medicaid Fee Schedule →Enrollment
Georgia Medicaid covered approximately 1.83-2.31M people. Two independent sources give different-period figures for total Georgia Medicaid/CHIP enrollment: KFF's state indicator (1,826,428, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (2,314,875 total Medicaid enrollees, July 1, 2024). The ~21% gap is larger than a same-period rounding difference would explain; consistent with continued post-pandemic 'unwinding' enrollment decline between mid-2024 and mid-2026, not a data error. Reported as a range rather than a single false-precision number.
Funding & federal match
Georgia has not adopted ACA Medicaid expansion.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Georgia's Federal Medical Assistance Percentage (FMAP) is 66.4%.
Delivery system & managed care
A large share of Georgia Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 68.9-73.4% of Medicaid enrollees.
Waivers
Georgia operates Medicaid managed care under the Georgia Pathways to Coverage, a Section 1115 demonstration waiver. Partial Medicaid expansion with a work/community-engagement requirement. Covers adults ages 19-64 with household income up to 100% FPL who document at least 80 hours/month of qualifying activity (work, education, volunteering, or, as of an October 2025 program update, caregiving for a child under 6 enrolled in Medicaid). Originally approved by CMS in October 2020; implemented July 2021; most recently extended through December 31, 2026 pending a further federal renewal decision. Enrollment as of 2025 (~7,400-8,000) remains far below the state's original ~47,000-52,000 target.
Frequently Asked Questions
Get Georgia's Free Medicaid Fee Schedule
Request actual Georgia Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910)
- KFF State Health Facts - Federal Matching Rate (FMAP) for Medicaid
- KFF - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Georgia
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
- Georgia Department of Community Health - Georgia Pathways to Coverage 1115 Demonstration Waiver Extension Notice
- Medicaid.gov - Georgia Pathways to Coverage, CMS Temporary Extension Approval
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.