United States · Georgia · Medicaid · 2026
Georgia Medicaid income limits 2026.
The Department of Community Health’s 2026 financial limits sheet, column by column, with a checker for family sizes one to four.
Short answer: Georgia’s Department of Community Health publishes one sheet, “2026 Financial Limits – All Programs,” effective March 1, 2026 and revised March 5, 2026. For a family of four the monthly limits are $3,657 for a child aged 6 to 19 (133 percent of poverty), $4,097 for a child aged 1 to 5 (149 percent), $5,637 for an infant under 1 (205 percent), $6,050 for pregnant women (220 percent), $6,792 for PeachCare for Kids (247 percent), $5,802 for Planning for Healthy Babies (211 percent), $5,500 for the sheet’s WHM column (200 percent) and $653 for a parent or caretaker. Adults aged 19 to 64 without another Medicaid category use Georgia Pathways to Coverage, which requires income at or below 100 percent of the federal poverty level and 80 hours a month of qualifying activity.
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Result
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The 2026 sheet: monthly and annual limits by family size
The sheet is headed “Income Limits, Effective 3/1/2026” and lists monthly and annual figures for family sizes one to four across nine columns. The column headings are the sheet’s own: Medically Needy (pregnant women and children), PT/CT (children under age 19), RSM Child 6-19 at 133 percent FPL, RSM Child 1-5 at 149 percent, RSM Child 0-1 at 205 percent, RSM pregnant women at 220 percent, PCK at 247 percent, P4HB at 211 percent and WHM at 200 percent. RSM is the Right from the Start Medical Assistance Group, PCK is PeachCare for Kids and P4HB is Planning for Healthy Babies, names the DCH programs page uses; the sheet does not expand PT/CT or WHM, and this page reads them as the parent/caretaker and women’s health columns without adding to what the sheet says.
| Family size | Medically Needy | PT/CT | Child 6-19 (133%) | Child 1-5 (149%) | Child 0-1 (205%) | Pregnant (220%) | PeachCare (247%) | P4HB (211%) | WHM (200%) |
|---|---|---|---|---|---|---|---|---|---|
| 1 (monthly) | $208 | $310 | $1,769 | $1,981 | $2,726 | N/A | $3,285 | $2,806 | $2,660 |
| 1 (annual) | $2,496 | $3,720 | $21,228 | $23,772 | $32,712 | N/A | $39,420 | $33,672 | $31,920 |
| 2 (monthly) | $317 | $457 | $2,399 | $2,688 | $3,698 | $3,968 | $4,455 | $3,806 | $3,608 |
| 2 (annual) | $3,804 | $5,484 | $28,788 | $32,256 | $44,376 | $47,616 | $53,460 | $45,672 | $43,294 |
| 3 (monthly) | $375 | $551 | $3,028 | $3,392 | $4,667 | $5,009 | $5,624 | $4,804 | $4,554 |
| 3 (annual) | $4,500 | $6,612 | $36,336 | $40,704 | $56,004 | $60,108 | $67,488 | $57,648 | $54,648 |
| 4 (monthly) | $442 | $653 | $3,657 | $4,097 | $5,637 | $6,050 | $6,792 | $5,802 | $5,500 |
| 4 (annual) | $5,304 | $7,836 | $43,884 | $49,164 | $67,644 | $72,600 | $81,504 | $69,624 | $66,000 |
Under the table the sheet marks column effective dates: January 1, 2026 for the two older-child columns, April 1, 2026 for the infant and pregnant-women columns, and March 1, 2026 for PeachCare and P4HB. The sheet lists family sizes only up to four; larger families should ask Georgia Gateway or DCH for the figure.
Adults: Georgia Pathways to Coverage
Georgia has not adopted the 138 percent adult expansion. Adults aged 19 to 64 who do not fit another category apply to Georgia Pathways to Coverage, which the Pathways site describes as offering Medicaid coverage to Georgians ages 19-64 with gross household income at or below 100 percent of the federal poverty level, at least 80 hours a month of qualifying activities such as employment, job training, community service or school enrolment, Georgia residency, citizenship or lawful residence, and no eligibility for another type of Medicaid. The site’s dollar examples are 2025 figures, $15,650 a year for one person and $26,650 for a family of three, and it says the amounts are updated annually; the linked 2026 poverty chart has the current guideline. The site also states that Pathways eligibility requirements change on January 1, 2027.
Aged, blind and disabled columns and resource limits
| ABD column | Individual (monthly) | Couple (monthly) |
|---|---|---|
| SSI payment amount | $994 | $1,491 |
| Medically Needy ABD | $317 | $375 |
| Nursing home / CCSP / Hospice | $2,982 | $5,964 |
| QMB (100% + $20) | $1,350 | $1,824 |
| SLMB (120% + $20) | $1,616 | $2,184 |
| QI-1 (135% + $20) | $1,816 | $2,455 |
| QDWI | $5,405 | $7,299 |
Resource limits on the same sheet: TANF $1,000 for all family sizes; SSI and Medically Needy $2,000 for an individual, $3,000 for an SSI couple and $4,000 for a Medically Needy couple; nursing home, CCSP and hospice $2,000 individual and $3,000 couple; QMB, SLMB and QI $9,950 individual and $14,910 couple. The community spouse figure is $4,066.50 (effective January 1, 2026) and the dependant family member figure $2,706 (effective April 1, 2026).
Worked examples
A family of three with $2,000 a month of gross income is within seven of the eight applicable limits: a child aged 6 to 19 ($3,028), 1 to 5 ($3,392), under 1 ($4,667), a pregnant member ($5,009), PeachCare ($5,624), P4HB ($4,804) and WHM ($4,554). It is over the Medically Needy ($375) and parent/caretaker ($551) columns, so the parents would not qualify through the PT/CT column at that income.
A family of four with $3,800 a month is over the $3,657 limit for a child aged 6 to 19 but within $4,097 for a child aged 1 to 5 and within the $6,792 PeachCare limit, which is where a school-age child in that family would be checked next.
A single adult aged 30 with no children and $1,300 a month fits none of the sheet’s family columns; the question becomes whether income is at or below 100 percent of the current poverty level and whether the 80-hour Pathways requirement is met.
Method
The checker compares the gross monthly income you type with the nine monthly limits on the DCH sheet for the family size you choose, and lists which columns the income is within. Family sizes above four are compared with the four-person row and flagged, because the sheet stops at four. Sheet figures and the Pathways text were read on November 11, 2026.
What this does not cover
- Family sizes above four, which the sheet does not list.
- Household composition, counting rules and income disregards, which Georgia Gateway applies when it decides a case.
- Eligibility for Pathways beyond the income test, including how the 80 hours are verified and what changes on January 1, 2027.
- Long-term care, waiver programs and Medicare Savings Program details beyond the figures shown.
Figures read from the sources below on November 11, 2026. Last updated November 11, 2026.
Sources
- Georgia Department of Community Health: 2026 Financial Limits, All Programs (PDF, effective March 1, 2026, revised March 5, 2026) (retrieved November 11, 2026)
- Georgia Medicaid: Basic eligibility (the page that links the 2026 limits) (retrieved November 11, 2026)
- Georgia Medicaid: All programs (RSM, PeachCare for Kids, P4HB, Pathways) (retrieved November 11, 2026)
- Georgia Pathways to Coverage: Eligibility (retrieved November 11, 2026)
Common mix-ups
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Often assumedGeorgia expanded Medicaid, so adults under 138 percent of poverty qualify.
What the source saysThe Pathways site says the program covers Georgians ages 19-64 with gross household income at or below 100 percent of the federal poverty level who complete at least 80 hours a month of qualifying activities. [2]
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Often assumedOne Georgia income limit covers the whole family.
What the source saysThe DCH sheet has nine columns by category and family size: for a family of four, $653 for a parent or caretaker but $3,657 for a child aged 6 to 19 and $6,792 for PeachCare for Kids. [1]
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Often assumedThe figures on the Georgia sheet are yearly amounts.
What the source saysThe sheet lists both monthly and annual figures; for a family of four the child 6-19 column is $3,657 a month and $43,884 a year. [1]
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Often assumedThe Georgia limits hold unchanged for the whole of 2026.
What the source saysThe sheet is dated effective March 1, 2026 and revised March 5, 2026, and it marks columns with effective dates of January 1, March 1 and April 1, 2026. [1]
- Georgia Department of Community Health: 2026 Financial Limits, All Programs (PDF, revised March 5, 2026)
- Georgia Pathways to Coverage: Eligibility
Checked against these sources on .
Frequently asked questions
What is the Georgia Medicaid income limit for a family of 4 in 2026?
It depends on the category: $3,657 a month for a child aged 6 to 19, $4,097 for a child 1 to 5, $5,637 for an infant, $6,050 for pregnant women, $6,792 for PeachCare for Kids and $653 for a parent or caretaker, per the DCH sheet effective March 1, 2026.
What is the income limit for PeachCare for Kids in 2026?
247 percent of the poverty level: $3,285 a month for one, $4,455 for two, $5,624 for three and $6,792 for four.
Can a single adult get Medicaid in Georgia?
Adults aged 19 to 64 outside the other categories apply through Georgia Pathways, which requires income at or below 100 percent of poverty and 80 hours a month of qualifying activity.
What is the Georgia Medicaid limit for pregnant women?
220 percent of poverty: $3,968 a month for a family of two, $5,009 for three and $6,050 for four.
Does the sheet cover families larger than four?
No. It lists family sizes one to four; ask Georgia Gateway or DCH for larger households.
What are the QMB and SLMB limits in Georgia for 2026?
QMB $1,350 for an individual and $1,824 for a couple; SLMB $1,616 and $2,184; QI-1 $1,816 and $2,455, all monthly.
When was this sheet published?
It is effective March 1, 2026 and marked revised March 5, 2026; it was read on November 11, 2026.
Not legal or financial advice
This page is general information from an unofficial guide, not legal, financial or benefits advice, and it is not affiliated with the Georgia Department of Community Health. Georgia Gateway decides eligibility using its own counting rules. Nothing you type is sent anywhere. It runs in your browser.