6,503
Current Enrollment
Active enrollment in Pathways to Coverage as of January 2, 2025
The above enrollment data is based on an open records request to Georgia’s Department of Community Health. It has not been approved by the federal Centers for Medicare and Medicaid Services (CMS) for official reporting purposes.
Monthly Enrollment, July 2023 - December 2024
The above enrollment data represents Georgians who are actively enrolled in the program by month. The active enrollment data for July 2023 - June 2024 is derived from monthly monitoring reports submitted to and approved by the federal Centers for Medicare and Medicaid Services (CMS). The active enrollment data for July 2024 - December 2024 is derived from monthly monitoring reports received through open records requests to Georgia’s Department of Community Health; the data has not been approved by CMS for official reporting purposes.
Program Costs
Program Approval (October 2020) - September 2024
$79,015,327 total (state and federal)
$11,374,573 state share
$13,967,271 total
$9,236,028 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
$10,742,000 total
$0 state share
Awareness campaign (note: the state has awarded over $20 million in federal American Rescue Plan funding for awareness campaign activities; $10.7 million of that award has been drawn down thus far to launch an awareness campaign in August 2024)
$51,274,239 total
$5,127,423 state share
Design, development, updates, etc. for Gateway and other administrative/training expenses
(The state’s online portal for accessing public benefits)
$1,955,063 total
$977,532 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 Georgia’s Department of Community Health. Specifically, the data are derived from Georgia’s Quarterly Medicaid Expenditure Reports (CMS-64) from when the program was approved in October 2020 through September 2024. The awareness campaign data is derived from the Georgia Data Analytics Center’s ARPA Dashboard. The costs above do not reflect expenses related to preparing and submitting the 1115 waiver, expenses related to the two Pathways to Coverage lawsuits filed by the state or funding for a pilot media campaign that ran in early 2024.
Enrollee Demographics
July 2023 - July 2024
Proportion of Enrollees by Age
Proportion of Enrollees by Sex
Proportion of Enrollees by Race/Ethnicity
The above demographic data are derived from the Pathways to Coverage interim evaluation report prepared by the Public Consulting Group (December 16, 2024), which is still pending review and approval from the federal Centers for Medicare and Medicaid Services (CMS). The racial and ethnic categories are not mutually exclusive (i.e., an enrollee might be categorized as Black and Hispanic). All data above reflect the time period from July 2023- July 2024.