Data Tracker
The estimate of potentially-eligible Georgians living in the coverage gap is based on GBPI analysis of data from a 2024 state fiscal note. The one-year enrollment projection is based on estimates provided to the media by Department of Community Health. The March 31, 2024 cumulative enrollment number is based on an Open Records Request to Department of Community Health.
Application and Enrollment Trends Over Time
The above application and enrollment data are based GBPI analysis of the March 31, 2024 cumulative enrollment data and the monthly monitoring reports for July 2023 - February 2024 received through Open Records Requests. Monthly monitoring reports for July - October 2023 can be found on the Pathways to Coverage Monitoring Reports website.
4,392
Eligibility and Enrollment
Cumulative enrollment
(including people who are no longer enrolled)
in Pathways to Coverage as of March 31, 2024
32%
Percentage of Pathways to Coverage applicants waiting for their application to be processed
18%
Of the applicants whose application has been processed, percentage who have been approved for Pathways to Coverage
22%
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
The above eligibility and enrollment data are based GBPI analysis of the March 31, 2024 cumulative enrollment data and the monthly monitoring reports for July 2023 - February 2024 received through Open Records Requests to Department of Community Health. Monthly monitoring reports for July - October 2023 can be found on the Pathways to Coverage Monitoring Reports website.
Public Benefits Customer Contact Center
1556
Cumulative number of calls that call center has received about Pathways to Coverage program
15 Min
Average time for individual to receive a call back about Pathways to Coverage program
98%
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 March 31, 2024.
Program Costs Since July 2023
$5,209,480 total
$1,092,337 state share
Health Insurance Payments
to Care Management Organizations
$1,076,754 total
$538,376 state share
Eligibility Determination Staff at Department of Human Services’ Division of Family & Children Services
$11,544,465 total
$1,154,446 state share
Design, development, updates, etc. for Gateway
(The state’s online portal for accessing public benefits)
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 - September 30, 2023, October 2023 - December 2023, and January - March 2024. The costs above do not reflect 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.