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  1. dhs.georgia.gov › sites › dhsGeorgia Department of Human Services Application for Benefits

    The system used in Georgia to pay benefits to individuals who are eligible for Food Stamps. Individuals receiving assistance are issued an EBT debit card, which is used to access their food stamp accounts.

  2. medicaid.georgia.gov › document › publicationGEORGIA DEPARTMENT OF HUMAN SERVICES Division of Family and...

    Application for Health Coverage & Help Paying Costs. Form Approved. OMB No. 0938-1191. You may qualify for a free or low-cost program even if you earn as much as $94,000 a year (for a family of 4). Who can use this application? Apply faster online. What you may need to apply. Why do we ask for this.

  3. dhs.georgia.gov › document › documentGeorgia Department of Human Services Application for Benefits

    Application for Benefits If you need help filling out this application or need help communicating with us, ask us or call 1-877-423-4746. If you are deaf or hard of hearing, please call GA Relay at 1-800-255-0135.

  4. dfcs.georgia.gov › sites › dfcsApplication for Benefits - Division of Family & Children Services

    If you are applying for Food Stamps, and/or Medicaid, you can file an application for benefits with only your name, address and signature. However, it may help us to process your application quicker if you complete the entire form. You may use this form to file a joint application for more than one program or for the Food Stamp Program (FS) only.

  5. medicaid.georgia.gov › form-94a-medicaid-streamlined-application › downloadApplication for Health Coverage & Help Paying Costs

    • Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage. • If you’re single, you may be able to use a short form. Visit HealthCare.gov. • Families that include immigrants can apply. childYou can apply for your

  6. dfcs.georgia.gov › apply-medicaidApply for Medicaid | Georgia Department of Human Services...

    For info on applying for Medicaid, please review the attached documents. Medicaid Application - English (PDF, 456.05 KB) Medicaid Application - Spanish (PDF, 949.13 KB) Medicaid Application - Attachment A (PDF, 163.25 KB) Medicaid Application - Attachment B (PDF, 139.29 KB)

  7. dch.georgia.gov › dch › filesGEORGIA DEPARTMENT OF HUMAN SERVICES Division of Family and...

    application? • Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage. • If you’re single, you may be able to use a short form. Visit HealthCare.gov. • Families that include immigrants can apply. You can apply for your

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    ga mhddad services application pdf template download printable free