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Georgia · Application guide

Georgia Katie Beckett application, step by step

Applying for Georgia Katie Beckett (TEFRA / Deeming Waiver) Medicaid means assembling a multi-form packet, timing a physician visit around a 90-day clock, and sending the right documents to two different places. This page is an organizer for that map — not an eligibility decision. Confirm every requirement with Georgia DCH, the Centralized Katie Beckett Medicaid Team, or your case manager.

WaiverPath is not a government agency, law firm, Medicaid provider, or benefits advisor. We help you organize information, documents, and follow-up tasks. Always verify requirements with the official agency or a qualified professional.

Where each piece of the packet goes

Norcross and Alliant are not interchangeable. Pick the row that matches the document, then confirm the current address on the official DCH Katie Beckett page before you send it.

Form 94 Medicaid application

Who completes it
Family
Where families send it
Centralized Katie Beckett Medicaid Team in Norcross — mail, fax 678-248-7459, or the DCH portal.
Organizer note
Check the Katie Beckett block on page 1 and sign and date. Confirm the current form on medicaid.georgia.gov before you fill it out.

Pediatric DMA-6(A)

Who completes it
Physician
Where families send it
Same Norcross packet or portal upload as Form 94 — not the Alliant medical-records box by itself.
Organizer note
Every item must be answered (N/A allowed). Valid only 90 days from the physician's signature. Confirm the current form and validity window with DCH.

DMA-706 Medical Necessity / Level of Care

Who completes it
Physician + caregiver
Where families send it
Same Norcross packet or portal upload as Form 94.
Organizer note
Physician and primary caregiver both sign. Confirm the current form with DCH before the visit.

DMA-704 Cost-Effectiveness

Who completes it
Physician
Where families send it
Same Norcross packet or portal upload as Form 94.
Organizer note
The child's physician estimates monthly in-home Medicaid service costs versus institutional care. Confirm current instructions with DCH.

Medical records for level-of-care review

Who completes it
Family gathers; Alliant reviews
Where families send it
Alliant Health Solutions, Attn: TEFRA/Katie Beckett, P.O. Box 105406, Atlanta, GA 30348.
Organizer note
Evaluations, current signed therapy notes, the most recent hospital discharge summary, and nursing notes. Confirm the current Alliant address on the official DCH or PAMMS page before you mail.

Program rules live on the Georgia Katie Beckett waiver guide. This page is the Form 94 / Norcross / Alliant application path.

The organizer steps

Step 1

Confirm the Katie Beckett fit

Katie Beckett (TEFRA) is generally designed for children under 18 who Georgia DCH determines meet an institutional level of care and can be cared for at home cost-effectively. Parent income and assets are generally treated as unavailable for this pathway — only the child's are considered. Confirm current eligibility criteria with Georgia DCH or the Centralized Katie Beckett Medicaid Team — WaiverPath does not determine eligibility.

Official source ↗

Step 2

Download the current DCH forms

Get the current packet from the official DCH page: the Katie Beckett Medicaid Application (Form 94, English or Spanish), Pediatric DMA-6(A), DMA-706 Medical Necessity/Level of Care, and DMA-704 Cost-Effectiveness. The full DCH packet with instructions runs about 41 pages. Confirm the current packet on the official DCH Katie Beckett page — do not reuse an old saved copy.

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Step 3

Schedule the physician visit early

The child's physician completes the Pediatric DMA-6(A) and DMA-706. Every item on the DMA-6(A) must be answered (N/A is allowed), and the form is valid only 90 days from the physician's signature — book the appointment early and plan to mail promptly after signing. Confirm the current DMA-6(A) validity window with DCH — WaiverPath does not extend it.

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Step 4

Complete the Form 94 application

Fill out the Katie Beckett Medicaid Application (Form 94) for the child, checking the Katie Beckett block. Answer every question completely; incomplete packets slow the review and trigger missing-information requests. Confirm the current Form 94 on medicaid.georgia.gov before you fill it out.

Official source ↗

Step 5

Assemble medical documentation for Alliant

Gather evaluations, therapy notes, and hospitalization records that support the level-of-care review. Medical documentation goes to Alliant Health Solutions, Attn: TEFRA/Katie Beckett, P.O. Box 105406, Atlanta, GA 30348. Confirm the current Alliant address on the official DCH or PAMMS page before you mail.

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Step 6

Submit the packet to the Norcross intake team

Mail to the Centralized Katie Beckett Medicaid Team, 2211 Beaver Ruin Road, Suite 150, Norcross, GA 30071, or fax 678-248-7459. Since April 15, 2026 you can also upload documents through the Katie Beckett portal. Keep a full copy of everything you send. Confirm the current street address, fax, and portal status on the official DCH Katie Beckett page before you send anything — the old P.O. Box has not been accepted since June 17, 2024.

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Step 7

Respond within 30 days to missing-info requests

If the packet is incomplete, families get 30 days to supply the missing information to Alliant. Log the request date the day it arrives and set a reminder well before the deadline. Confirm the current missing-information window with Alliant or DCH — WaiverPath does not set it.

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Step 8

Track status through the portal or by phone

The Katie Beckett portal (launched April 15, 2026) offers document upload, status tracking, and secure messaging. You can also call the Centralized Katie Beckett Medicaid Team at 678-248-7449. Confirm current portal steps and the team phone number on the official DCH Katie Beckett page.

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Step 9

Note the renewal horizon after approval

Georgia materials state that level-of-care approvals are authorized for no less than 2 years. Record the approval date and set a renewal check about 22 months out so the next review never sneaks up. Confirm the current authorization period with DCH on the approval letter — timing can vary by case.

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Step 10

Record every destination, date, and follow-up

Write down the Norcross mail, fax, or portal date, the Alliant medical-document date, confirmation or tracking numbers, and every DCH or Alliant contact. A 30-day missing-information clock is easier to meet when the trail is dated. Confirm current response windows with DCH or Alliant.

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Portal, 90-day clock, and two destinations — what to save

If you landed here looking for how to file the Georgia Katie Beckett application, start from the official DCH page and a dated confirmation — not a third-party reprint of the forms.

Two destinations, two clocks

The application packet (Form 94 plus the DMA forms) goes to the Centralized Katie Beckett Medicaid Team in Norcross. Level-of-care medical records go to Alliant. Mixing the two can stall both reviews. Confirm current addresses on the official DCH Katie Beckett page before you send anything.

The DMA-6(A) 90-day clock starts at the physician's signature

Georgia's Pediatric DMA-6(A) is valid only 90 days from the physician's signature. Book the visit early, pre-fill identifying sections, and plan to mail, fax, or upload promptly after signing. If the form goes stale, families generally need a new physician visit. Confirm the current validity window with DCH — WaiverPath does not extend it.

The DCH portal is an upload path, not a different program

Since April 15, 2026, families can also upload documents through katiebeckettportal.dch.georgia.gov. Mail and fax remain routes. Record the username, the email on the account, and the upload date. Confirm current portal steps on the official site — screens change.

The old P.O. Box is closed

The old P.O. Box has not been accepted since June 17, 2024. Use the Beaver Ruin Road street address in Norcross, the fax, or the portal. Confirm the current street address on the official DCH page before you print a label.

Official starting points: Georgia DCH TEFRA/Katie Beckett ↗ and katiebeckettportal.dch.georgia.gov ↗.

What to record after you apply

Missing-information clocks and the 90-day DMA-6(A) window are easier to confirm with DCH when you have a dated paper trail. Write these down the day you submit.

Organizer mistakes that stall a Georgia Katie Beckett packet

These are paperwork and follow-up errors — not legal advice. Confirm process questions with Georgia DCH, Alliant, or your case manager.

Letting the DMA-6(A) go stale

The form expires 90 days after the physician signs. A late mailing can mean a new doctor visit. Track the signature date the day it happens and confirm the current window with DCH.

Leaving DMA-6(A) items blank

Every item must be answered; write N/A rather than skipping. Incomplete physician pages commonly trigger a 30-day missing-information clock with Alliant.

Mailing to the old P.O. Box

That box stopped being accepted June 17, 2024. Use the Beaver Ruin Road street address, the fax, or the portal. Confirm the current address with DCH.

Sending medical records to Norcross instead of Alliant (or vice versa)

The application packet and the level-of-care documentation have different destinations. Log both send dates. Confirm current routing on the official DCH page.

Not keeping copies

A 30-day missing-info request is harder to meet if you have to rebuild the packet from scratch. Copy everything before you send it.

Missing the second signature on DMA-706

DMA-706 needs both the physician and the primary caregiver to sign and date. Confirm the current signature block with DCH before you leave the office.

Save this Georgia application path freeForm 94 packet assistantGeorgia Katie Beckett checklistGeorgia Katie Beckett overviewGeorgia programs guideNational Katie Beckett hub

Georgia Katie Beckett application FAQ

How do I apply for Georgia Katie Beckett Medicaid?

Assemble a paper packet — Form 94 plus physician-completed DMA-6(A), DMA-706, and DMA-704 — and mail it to the Centralized Katie Beckett Medicaid Team, 2211 Beaver Ruin Road, Suite 150, Norcross, GA 30071, fax 678-248-7459, or upload through katiebeckettportal.dch.georgia.gov (available since April 15, 2026). Send medical documentation for the level-of-care review separately to Alliant Health Solutions, Attn: TEFRA/Katie Beckett, P.O. Box 105406, Atlanta, GA 30348. Confirm current addresses and routes on the official DCH Katie Beckett page. WaiverPath does not submit the application.

What is Georgia Katie Beckett Form 94?

Form 94 is Georgia's Katie Beckett Medicaid application. Check the Katie Beckett block on page 1, complete the child and household fields, and sign and date. Parent income is generally treated as unavailable for this pathway, but the form still asks for household information. Confirm current financial rules with Georgia DCH — WaiverPath does not determine eligibility. Download the current form from medicaid.georgia.gov — do not reuse an old saved copy.

What is the DMA-6(A) 90-day clock?

The Pediatric DMA-6(A) (Physician's Recommendation) is valid only 90 days from the physician's signature. Every item must be answered (N/A is allowed). Schedule the visit early and plan to mail, fax, or upload promptly after signing. Confirm the current validity window with DCH — WaiverPath does not extend it.

Where do I mail the Georgia Katie Beckett application?

Mail the application packet to the Centralized Katie Beckett Medicaid Team, 2211 Beaver Ruin Road, Suite 150, Norcross, GA 30071, or fax 678-248-7459. The old P.O. Box has not been accepted since June 17, 2024. You can also upload through the DCH Katie Beckett portal. Confirm the current street address on the official DCH page before you print a label.

What documents go to Alliant vs Norcross?

Form 94 and the DMA physician forms go to the Norcross intake team (mail, fax, or portal). Evaluations, therapy notes, discharge summaries, and nursing notes that support the level-of-care review go to Alliant Health Solutions, Attn: TEFRA/Katie Beckett, P.O. Box 105406, Atlanta, GA 30348. Confirm current routing with DCH or Alliant — mixing the two destinations can stall both reviews.

Is there a Georgia Katie Beckett portal?

Yes. Georgia DCH launched katiebeckettportal.dch.georgia.gov on April 15, 2026 for document upload, status tracking, and secure messaging. Mail and fax remain routes. Record the username, email, and upload date. Confirm current portal steps on the official site.

Does parent income count for Georgia Katie Beckett?

Katie Beckett is a TEFRA state-plan option: parent income and assets are generally treated as unavailable and are not counted for this pathway. Only the child's own income and assets are considered. Confirm current financial rules with Georgia DCH or the Centralized Katie Beckett Medicaid Team — WaiverPath does not determine eligibility.

Is there a waitlist for Katie Beckett in Georgia?

Katie Beckett is not a capped 1915(c) HCBS waiver like NOW or COMP. It is a TEFRA Medicaid pathway administered by Georgia DCH, so families should confirm current enrollment and processing rules directly with DCH. NOW and COMP waitlists are a different DBHDD track.

What forms are in the Georgia Katie Beckett packet?

The usual packet is Form 94 (family), Pediatric DMA-6(A) (physician, 90-day signature clock), DMA-706 Medical Necessity/Level of Care (physician + caregiver signatures), and DMA-704 Cost-Effectiveness (physician). The full DCH packet with instructions runs about 41 pages. Confirm the current forms on the official DCH Katie Beckett page before you print.

Does WaiverPath submit the Georgia Katie Beckett application?

No — WaiverPath is an organizer for families, not an agency, case manager, or representative. Free accounts open the Georgia checklist and remind you of follow-up dates. Plus ($4.99/mo or $39/yr) adds a Form 94 packet assistant for capturing physician dates, destination logs, and Alliant follow-up in one place. Confirm eligibility, packet contents, and timelines with Georgia DCH or your case manager.

Official sources

Last reviewed by WaiverPath: August 24, 2026.

WaiverPath is not a government agency, law firm, Medicaid provider, or benefits advisor. We help you organize information, documents, and follow-up tasks. Always verify requirements with the official agency or a qualified professional.

Last reviewed: August 2026.