5,562
Current Enrollment
Active enrollment in Pathways to Coverage as of November 30, 2024
The above enrollment data is based on an Open Records Request from Georgia’s Department of Community Health. It has not been approved by CMS for official reporting purposes.
Enrollment Trends, July 2023 - June 2024
The above enrollment data are based GBPI analysis of the monthly monitoring reports for July 2023 - June 2024. Those reports can be found on the Pathways to Coverage Monitoring Reports website.
Program Eligibility Metrics
July 2023 - June 2024
5%
Of those who indicated interest in Pathways to Coverage (through a signed contract), percentage who actually enrolled from July 2023 - June 2024
17%
Of the applicants whose application has been processed, percentage who were approved for Pathways to Coverage from July 2023 - June 2024
19%*
Of those applicants who were denied for Pathways to Coverage, percentage who were denied for reporting inadequate hours associated with the qualifying hours and activities requirement from March 2024 - June 2024
*This metric is based on the number of applications that were denied for not meeting the qualifying hours and activities requirement, including applications denied for reporting inadequate hours or failing to provide sufficient verification of hours. The state only began reporting this metric on the monthly monitoring reports starting in March 2024.
The above eligibility metrics are based GBPI analysis of the monthly monitoring reports for July 2023 - June 2024. Those reports can be found on the Pathways to Coverage Monitoring Reports website.
Public Benefits Call Center
July 2023 - June 2024
2066
Cumulative number of calls that call center has received about Pathways to Coverage program
14 Min
Average time for individual to receive a call back about Pathways to Coverage program
99%
Percentage of calls to call center about Pathways to Coverage that have been returned
The above call center data are based on data received through Open Records Requests to the Department of Human Services. Data reflect call center statistics as of June 26, 2024.
Program Costs
July 2023 - June 2024
$25,984,308 overall total
$5,686,965 overall state share
$9,268,854 total
$3,128,613 state share
Health insurance payments
to care management organizations and other related payments
$1,076,754 total
$538,376 state share
Eligibility determination staff at Department of Human Services’ Division of Family & Children Services
$14,498,434 total
$1,449,843 state share
Design, development, updates, etc. for Gateway and other administrative/training expenses
(The state’s online portal for accessing public benefits)
$1,140,266 total
$570,133 state share
Other administrative expenses (e.g., fees for Public Consulting Group’s program evaluation)
The above program costs are based on data received through Open Records Requests to Department of Community Health. Specifically, the data are derived from Georgia’s Quarterly Medicaid Expenditure Reports (CMS-64) for July 1, 2023 - June 30, 2024. The costs above do not reflect funds spent on education/outreach or funds spent prior to the program’s launch in July 2023, such as funds spent to prepare the 1115 demonstration waiver or funds spent on the initial Pathways to Coverage-related updates for Gateway.