Georgia Medicaid Eligibility Verification for Behavioral Health
Georgia Medicaid eligibility checks are about to matter more than usual. The state awarded new Georgia Families contracts, so the care management organization on a member's record may not be the one they had last year. For behavioral health, the check also has to separate CMO members from fee-for-service members whose community behavioral health runs through a different system.
Short answer
Verify Georgia Medicaid eligibility in GAMMIS, the Georgia Medicaid Management Information System, through its secure web portal, or through the Provider Services Contact Center and interactive voice response line at 1-800-766-4456. For behavioral health, confirm whether the member is in a Georgia Families care management organization or fee-for-service, and which CMO, because routing, authorization, and networks differ. Read the plan from GAMMIS at every visit during the CMO transition.
Where to check
| Method | What it is |
|---|---|
| GAMMIS web portal | Secure portal eligibility verification at mmis.georgia.gov, available 24 hours |
| IVRS and contact center | 1-800-766-4456, interactive voice response available 24 hours |
As of October 2026. Confirm current access details on the GAMMIS portal.
The Georgia Families transition
Georgia issued a notice of intent to award new Georgia Families contracts to CareSource, Humana, Molina, and UnitedHealthcare, with UnitedHealthcare also awarded Georgia Families 360, which covers children in foster care. The prior lineup included Amerigroup and Peach State Health Plan alongside CareSource. Members move between plans during a transition like this. Confirm effective dates with the Department of Community Health, and read the member's CMO from GAMMIS at each visit rather than from their card or your records. See Georgia Families news.
What the check has to answer
- CMO or fee-for-service. Georgia Families members are managed by a CMO; others are fee-for-service, where community behavioral health is organized differently.
- Which CMO. Each has its own network, prior authorization matrix, and portal.
- Category of service and enrollment. Whether your GAMMIS enrollment and category of service support the service you plan to bill.
- Pathways coverage. For Georgia Pathways members, coverage depends on meeting qualifying activity requirements, so verify each visit.
What eligibility will not tell you
Whether your clinician is in network with the member's CMO, and whether the service needs authorization. Both are plan-specific and change with the transition.
Verify at booking, then before each visit
Eligibility can change between booking and the visit, so check both times. Stable's AI receptionist verifies insurance during the booking call or text and books the patient with a clinician credentialed with their plan.
Related: the Georgia Medicaid billing guide, insurance verification for behavioral health and eligibility denials.
Frequently asked questions
How do I verify Georgia Medicaid eligibility?
Through the GAMMIS secure web portal at mmis.georgia.gov, or the Provider Services Contact Center and interactive voice response line at 1-800-766-4456. Both are available 24 hours.
Which care management organizations run Georgia Families?
Georgia awarded new Georgia Families contracts to CareSource, Humana, Molina, and UnitedHealthcare, with UnitedHealthcare also awarded Georgia Families 360. Confirm current effective dates with the Department of Community Health and read each member's plan from GAMMIS.
Why does CMO versus fee-for-service matter for behavioral health?
Because routing, prior authorization, and networks differ between CMO-managed members and fee-for-service members, whose community behavioral health is organized differently.
How often should I verify Georgia Medicaid eligibility?
At booking and before every visit, especially during the CMO transition, when plan assignments change.
Plan changes, caught at booking.
See Stable verify a Georgia Medicaid member's CMO during the booking call, every time.
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