Georgia · Katie Beckett / TEFRA
Georgia Katie Beckett form assistant
Build a mail-ready Katie Beckett packet: Form 94 family sections with the Katie Beckett block checked, physician-prep sheets for DMA-6(A), DMA-706, and DMA-704, Alliant medical-doc inventory, and a cover letter to the Norcross centralized intake team. Parent income is not counted for Katie Beckett — only the child's.
Last reviewed for official sources: July 11, 2026. Always use current forms from medicaid.georgia.gov.
What the Plus Georgia packet includes
- Form 94 working copy — Katie Beckett program block, contact, authorized rep, household/child rows, insurance/ELE notes, signature lines blank for ink.
- DMA-6(A) family prep — Section A identifying fields + 90-day clock tracking; physician completes medical sections on the official form.
- DMA-706 & DMA-704 prep — diagnoses, LOC, therapies, school, cost categories ready for the physician visit.
- Alliant + Norcross plan — medical docs to Alliant PO Box; application to Beaver Ruin Road / fax / portal (not the old P.O. Box).
- Cover letter & checklist — generic packet pages with mailing instructions and follow-up reminders after you log submission.
Free vs Plus
Free
- Georgia Katie Beckett checklist (first tasks)
- Official DCH source links
- Onboarding + state preference
Plus — $6.99/mo
- Full forms assistant + mail-ready PDF packet
- Document vault, call log, email reminders
- Submission tracker after you mail/fax/upload
FAQ
Does WaiverPath file my Katie Beckett application?
No. Plus prepares a Form 94 working copy, physician-prep sheets, and mailing checklist. You transfer answers onto current official DCH PDFs, obtain wet-ink signatures, and mail, fax, or upload yourself.
What is in the Georgia Plus packet?
Cover letter to the Centralized Katie Beckett team in Norcross, multi-page Form 94 family sections with the Katie Beckett block checked, prep sheets for DMA-6(A), DMA-706, and DMA-704, Alliant medical-document inventory, and before-you-send steps.
Why is the DMA-6(A) 90-day clock important?
The Pediatric DMA-6(A) is valid only 90 days from the physician's signature. Book the visit early and mail promptly after signing, or you may need a re-signed form.
Where do medical records go?
Level-of-care medical documentation goes to Alliant Health Solutions, Attn: TEFRA/Katie Beckett, P.O. Box 105406, Atlanta, GA 30348. The application packet goes to Norcross (street address), fax 678-248-7459, or the Katie Beckett portal.
Free vs Plus?
Free opens the Georgia checklist basics. Plus ($6.99/mo or $49/yr) unlocks the form assistant, mail-ready packet PDF, document vault, call log, and email reminders.
Related Georgia pages
Official sources
Last reviewed by WaiverPath: July 11, 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.