8,633
Current Enrollment
Active enrollment in Pathways to Coverage as of July 31, 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 - May 2025
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 - May 2025 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
January 2021 - June 2025
Total costs = $109,822,850
State share = $18,373,997
The above program costs are based on data received through open records requests to Georgia’s Department of Community Health. Most of the data are derived from Georgia’s Quarterly Medicaid Expenditure Reports (CMS-64) dating from when the program was approved in October 2020 through June 2025. The awareness campaign data are not included in the CMS-64 forms; that data was received through an open records request to the Department of Community Health. It is important to note that, as of June 30, 2025, the Department of Community Health had awarded the full $20.7 million for the awareness campaign to the vendor; however, the vendor had only expensed about $10 million of the award amount as of that same date. The awareness campaign is expected to end in November 2025.
Please note: 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.
Eligible Applicant 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.