Georgia Medicaid Income Limits 2026: Chart by Household Size & Family of 4
Quick answer: Georgia has not taken the ACA's 138% FPL expansion, so there is no 138% FPL adult ceiling. It does cover some adults through Georgia Pathways to Coverage, a capped waiver program for adults up to 100% FPL who meet a work or activity requirement. The only adult standard in the national table is the parents and caretaker relatives category — roughly 28% FPL, converted by CMS from the state's dollar-based standard. Children and pregnant women qualify at much higher levels. The chart below lists the Georgia Medicaid income requirements and guidelines for 2026 — all effective cutoffs including the 5% MAGI disregard, computed from the official 2026 FPL table (ASPE / Federal Register). State standards are from the CMS national eligibility table, as of 2023-12-01.
Georgia Pathways is the Georgia Medicaid program — children's coverage runs under PeachCare for Kids (children). The 2026 Georgia Pathways income limits are the figures on this page, shown as both the state percentages and dollar charts by household size.
Georgia Medicaid work requirement 2027: the federal work-requirement deadline for Georgia is January 1, 2027. The income cutoffs on this page are the 2026 figures in effect now; see the Georgia work-requirement page for hours, exemptions and the reporting timeline.
Verification: medicaid.georgia.gov's basic-eligibility page publishes no FPL percentages.
Adults 19-64 (Georgia Pathways to Coverage waiver) — 2026 income limits
100% FPL effectiveAdults 19-64 (Georgia Pathways to Coverage waiver) income limits 2026: 100% of the federal poverty level — about $1,330/month for a household of 1 and $2,750/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,330 | $1,803 | $2,277 | $2,750 | $3,223 | $3,697 | $4,170 | $4,643 |
100% of FPL effective. Larger households: add roughly $473/month per additional person.
Georgia's partial-expansion waiver (not the ACA expansion group): adults 19-64 up to 100% FPL who meet a monthly work or activity requirement. The state runs the program and sets enrollment capacity.
Children 0-11 (Medicaid) — 2026 income limits
210% FPL effectiveChildren 0-11 (Medicaid) income limits 2026: 210% of the federal poverty level — about $2,793/month for a household of 1 and $5,775/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,793 | $3,787 | $4,781 | $5,775 | $6,769 | $7,763 | $8,757 | $9,751 |
Base standard 205% FPL + 5% MAGI disregard = 210% effective. Larger households: add roughly $994/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children 1-5 (Medicaid) — 2026 income limits
154% FPL effectiveChildren 1-5 (Medicaid) income limits 2026: 154% of the federal poverty level — about $2,048/month for a household of 1 and $4,235/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,048 | $2,777 | $3,506 | $4,235 | $4,964 | $5,693 | $6,422 | $7,151 |
Base standard 149% FPL + 5% MAGI disregard = 154% effective. Larger households: add roughly $729/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children 6-18 (Medicaid) — 2026 income limits
138% FPL effectiveChildren 6-18 (Medicaid) income limits 2026: 138% of the federal poverty level — about $1,835/month for a household of 1 and $3,795/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $1,835 | $2,489 | $3,142 | $3,795 | $4,448 | $5,101 | $5,755 | $6,408 |
Base standard 133% FPL + 5% MAGI disregard = 138% effective. Larger households: add roughly $653/month per additional person.
Medicaid coverage for children. No premiums and no asset test.
Children (separate CHIP — PeachCare for Kids) — 2026 income limits
252% FPL effectiveChildren (separate CHIP — PeachCare for Kids) income limits 2026: 252% of the federal poverty level — about $3,352/month for a household of 1 and $6,930/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $3,352 | $4,544 | $5,737 | $6,930 | $8,123 | $9,316 | $10,508 | $11,701 |
Base standard 247% FPL + 5% MAGI disregard = 252% effective. Larger households: add roughly $1,193/month per additional person.
Separate CHIP coverage for uninsured children above the Medicaid children's ceiling. Benefits match Medicaid; small copays may apply for some services. CMS lists this as a CHIP-funded Medicaid expansion covering children up to age 19 (footnote 1 of the national table), under the PeachCare for Kids name.
Pregnant women (Medicaid) — 2026 income limits
225% FPL effectivePregnant women (Medicaid) income limits 2026: 225% of the federal poverty level — about $2,993/month for a household of 1 and $6,188/month for a family of 4.
| Household | Family of 1 | Family of 2 | Family of 3 | Family of 4 | Family of 5 | Family of 6 | Family of 7 | Family of 8 |
|---|---|---|---|---|---|---|---|---|
| Monthly income limit | $2,993 | $4,058 | $5,123 | $6,188 | $7,253 | $8,318 | $9,383 | $10,448 |
Base standard 220% FPL + 5% MAGI disregard = 225% effective. Larger households: add roughly $1,065/month per additional person.
Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage.
Parents & caretaker relatives (Medicaid) — 2026 income limits
State dollar standard (CMS equivalent 28% FPL)Parents & caretaker relatives (Medicaid) income limits 2026:
The parents and caretaker relatives category. In states that expanded Medicaid, parents above this standard may qualify through the adult expansion group instead. CMS converted this state's dollar-amount standard to a percentage of FPL (footnote 4 of the national table); the state determines eligibility in dollars, not percent.
Georgia has not expanded Medicaid to adults under the ACA, so there is no 138% FPL adult group and the 2027 work requirement has no expansion population to apply to. The parents and caretaker relatives category is Georgia's adult standard. Children and pregnant women qualify at much higher levels, shown below. Figures are computed from the official 2026 federal poverty guidelines.
MAGI household size follows federal tax-filing relationships, not who lives under your roof - and a pregnant applicant counts the expected child(ren).
Frequently asked questions
What is the Georgia Medicaid income limit in 2026?
It depends on the coverage group. Georgia has not taken the ACA's 138% FPL expansion, so there is no 138% FPL adult ceiling. It does cover some adults through Georgia Pathways to Coverage, a capped waiver program for adults up to 100% FPL who meet a work or activity requirement. The only adult standard in the national table is the parents and caretaker relatives category — roughly 28% FPL, converted by CMS from the state's dollar-based standard. Children and pregnant women qualify at much higher levels.
What income is too high for Medicaid in Georgia?
There is no single number — every coverage group has its own ceiling. In Georgia, adults have no expansion ceiling; the parents and caretakers standard runs to roughly 28% FPL. Children and pregnant women stay covered at much higher levels: children to 210% FPL and pregnant women to 225% FPL.
What is the income limit for Adults 19-64 in Georgia?
Adults 19-64 (Georgia Pathways to Coverage waiver): 100% of the federal poverty level, about $1,330/month for a household of one. Georgia's partial-expansion waiver (not the ACA expansion group): adults 19-64 up to 100% FPL who meet a monthly work or activity requirement. The state runs the program and sets enrollment capacity.
What is the income limit for Children 0-11 in Georgia?
Children 0-11 (Medicaid): 210% of the federal poverty level, about $2,793/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children 1-5 in Georgia?
Children 1-5 (Medicaid): 154% of the federal poverty level, about $2,048/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children 6-18 in Georgia?
Children 6-18 (Medicaid): 138% of the federal poverty level, about $1,835/month for a household of one. Medicaid coverage for children. No premiums and no asset test.
What is the income limit for Children in Georgia?
Children (separate CHIP — PeachCare for Kids): 252% of the federal poverty level, about $3,352/month for a household of one. Separate CHIP coverage for uninsured children above the Medicaid children's ceiling. Benefits match Medicaid; small copays may apply for some services. CMS lists this as a CHIP-funded Medicaid expansion covering children up to age 19 (footnote 1 of the national table), under the PeachCare for Kids name.
What are the Georgia Medicaid income limits for seniors (65 and older)?
The limits above are MAGI standards for children, pregnant women, parents and adults under 65. People 65 or older (and people with disabilities of any age) qualify under separate non-MAGI categories with their own dollar limits, which can include an asset test. Georgia Department of Community Health publishes those figures and makes the final determination.
What are the Georgia Pathways income limits in 2026?
Georgia Pathways is the Georgia Medicaid program; children's coverage runs under PeachCare for Kids (children). Its income limits are the ones on this page: Georgia has not taken the ACA's 138% FPL expansion, so there is no 138% FPL adult ceiling. It does cover some adults through Georgia Pathways to Coverage, a capped waiver program for adults up to 100% FPL who meet a work or activity requirement. The only adult standard in the national table is the parents and caretaker relatives category — roughly 28% FPL, converted by CMS from the state's dollar-based standard. Children and pregnant women qualify at much higher levels.
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Reviewed by Gavin YE, Technical Director, ClearRules Labs.
Page last reviewed 2026-09-21
