Georgia Pathways to Coverage Medicaid program too limited, too costly, analysis finds

Gov. Brian Kemp’s Georgia Pathways program has been in effect for more than a year. It’s a limited expansion of Medicaid health insurance for some low-income adults, if they meet strict work, education or volunteer requirements.

More than a year after the state launched the Pathways to Coverage program, offering Medicaid in exchange for work or other state-approved activities, advocates say the program is too difficult for many applicants to navigate. A new report is recommending changes to Pathways as it faces renewal next year.

Enrollment in Pathways to Coverage has been sluggish, with numbers far below the state’s initial forecasts. Estimates suggest that tens of thousands of Georgians could potentially qualify, with just over 4,200 people signing up during Pathways’ first year. 

The federal CMS waiver program is for low-income adults who otherwise don’t qualify for Medicaid health insurance in Georgia and who document 80 hours a month of eligible work, education or volunteering activities.