Georgia · Packet checklist
This checklist helps Georgia families organize the Katie Beckett (TEFRA / Deeming Waiver) packet through the Department of Community Health — current forms, the physician visit and its 90-day clock, Norcross versus Alliant destinations, and renewal reminders. It is an organizer, not an eligibility decision. Confirm every current form, address, and clock 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.
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.
The step-by-step filing map is on the Georgia Katie Beckett application guide. This page is the gather-and-track checklist.
Step 1
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
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.
Official source ↗Step 3
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.
Official source ↗Step 4
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
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.
Official source ↗Step 6
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.
Official source ↗Step 7
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.
Official source ↗Step 8
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.
Official source ↗Step 9
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.
Official source ↗Step 10
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.
Official source ↗These are paperwork clocks, not eligibility rules. Confirm current windows with Georgia DCH, Alliant, or your case manager.
The usual packet is Form 94 plus Pediatric DMA-6(A), DMA-706, and DMA-704. 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.
Georgia's Pediatric DMA-6(A) is valid only 90 days from the physician's signature. Book the visit after the rest of the packet is nearly ready, then mail, fax, or upload promptly. 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 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.
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 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.
Georgia materials state that level-of-care approvals are authorized for no less than 2 years. Record the approval-letter date and set a renewal check about 22 months out. Confirm the current authorization period with DCH on the letter — timing can vary by case.
Official starting points: Georgia DCH TEFRA/Katie Beckett ↗ and katiebeckettportal.dch.georgia.gov ↗.
These are paperwork and follow-up errors — not legal advice. Confirm current rules with Georgia DCH, Alliant, or your case manager.
Katie Beckett 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. Confirm current eligibility criteria with DCH — WaiverPath does not determine eligibility.
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.
Every item must be answered; write N/A rather than skipping. Incomplete physician pages commonly trigger a 30-day missing-information clock with Alliant.
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.
The application packet and the level-of-care documentation have different destinations. Log both send dates. Confirm current routing on the official DCH page.
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.
Families typically gather the current DCH packet (Form 94, Pediatric DMA-6(A), DMA-706, DMA-704), schedule the physician visit around the 90-day DMA-6(A) clock, send the packet to the Norcross intake team, send medical records to Alliant, and log every date. Confirm the current forms and destinations on the official DCH Katie Beckett page. This checklist is an organizer — not an eligibility decision.
Start with the official DCH Katie Beckett page and download the current Form 94, Pediatric DMA-6(A), DMA-706 Medical Necessity/Level of Care, and DMA-704 Cost-Effectiveness. The full packet with instructions runs about 41 pages. Confirm the current packet before you print — do not reuse an old saved copy.
Write down the physician appointment and the date the Pediatric DMA-6(A) was signed. The form is valid only 90 days from that signature. Plan to mail, fax, or upload promptly after signing. Confirm the current validity window with DCH — WaiverPath does not extend it.
Form 94 and the DMA physician forms go to the Centralized Katie Beckett Medicaid Team, 2211 Beaver Ruin Road, Suite 150, Norcross, GA 30071 (mail, fax 678-248-7459, or the DCH portal). Evaluations, therapy notes, discharge summaries, and nursing notes 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.
Keep a full copy of Form 94, every signed DMA form, and the medical-record packet you send to Alliant, plus certified-mail receipts, fax confirmations, or portal confirmation numbers. A 30-day missing-information request is easier to meet when you can resend from copies instead of rebuilding the file.
If the packet is incomplete, families get 30 days to supply the missing information to Alliant. Log the request date the day it arrives, the items asked for, the due date, and the date you responded. Confirm the current missing-information window with Alliant or DCH — WaiverPath does not set it.
Since April 15, 2026, families can upload documents through katiebeckettportal.dch.georgia.gov. Record the username, the email on the account, and the upload date. Never store the password in WaiverPath. Mail and fax remain routes. Confirm current portal steps on the official site.
Georgia materials state that level-of-care approvals are authorized for no less than 2 years. Record the approval-letter date and set a check about 22 months out. Confirm the current authorization period with DCH on the letter — timing can vary by case.
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. Form 94 still asks for household information. Confirm current financial rules with Georgia DCH — WaiverPath does not determine eligibility.
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.
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.
