Georgia runs a single statewide front door for behavioral health crises: the Georgia Crisis and Access Line, or GCAL, at 1-800-715-4225, answered 24/7/365. It's the number to know in advance, because in Georgia a mobile crisis team can only be dispatched through GCAL or 988. This guide explains how that connects to Medicaid, residential care, and Georgia's 2022 parity law — and where families actually have leverage.
The information here comes from Georgia state agency sources — the Department of Behavioral Health and Developmental Disabilities (DBHDD), the Department of Community Health (DCH), and the Office of Commissioner of Insurance — all linked at the bottom.
If you need help right now
988 · The national Suicide and Crisis Lifeline, available statewide by call or text.
Georgia Crisis and Access Line (GCAL) · 1-800-715-4225 · Georgia's statewide behavioral health crisis line, answered 24/7/365. GCAL is how mobile crisis teams get dispatched, and it can connect you to crisis stabilization and ongoing services.
My GCAL app · A free smartphone app that lets youth call, text, or chat with GCAL directly.
Text HOME to 741741 · Crisis Text Line. The Trevor Project · 1-866-488-7386 for LGBTQ+ youth.
911 · For immediate physical danger or active medical emergency.
The single most useful thing to remember about Georgia's system: save the GCAL number, or install the My GCAL app, before there's a crisis. Mobile Crisis Response — a trained team that comes to where your teen is — is reached through GCAL or 988, not through a separate number, and getting that team to your door is often what keeps a crisis from defaulting to an emergency room or a police response.
How Georgia's children's system is organized
Two state agencies do most of the work, with the insurance regulator handling private coverage:
- DBHDD runs the public behavioral health system — the crisis line, mobile crisis, crisis stabilization units, and community services delivered largely through Community Service Boards (CSBs). Its Office of Children, Young Adults, and Family Services focuses on youth.
- DCH (Department of Community Health) runs Medicaid and PeachCare for Kids, and — through Healthcare Facility Regulation — licenses residential facilities.
- The Office of Commissioner of Insurance regulates private health plans and enforces parity for them.
GCAL, mobile crisis, and stabilization
Georgia's crisis system is built around a few connected services, all reachable through GCAL or 988:
- Mobile Crisis Response Services (MCRS) — a 24/7 community-based team that provides on-site assessment, de-escalation, and referral, with follow-up to link the family to ongoing care.
- Crisis Stabilization Units (CSUs) — short-term residential stabilization. Georgia operates several CSUs dedicated specifically to children and adolescents.
- Post-crisis linkage — GCAL doesn't just respond and disappear; it connects families to follow-up services, which is the step that determines whether a teen actually gets ongoing treatment.
What Georgia Medicaid and PeachCare cover
Most Georgia children get Medicaid or PeachCare for Kids coverage through Georgia Families, the state's managed care program. A separate plan, Georgia Families 360°, serves children in foster care, those receiving adoption assistance, and certain youth involved with the juvenile justice system, with extra care coordination built in. PeachCare for Kids is Georgia's Children's Health Insurance Program, covering income-eligible children up to age 19.
Covered behavioral health care includes outpatient therapy, psychiatric medication management, mobile crisis and stabilization, intensive community services, inpatient psychiatric care, and residential treatment for youth who meet medical necessity. Under Health Check — Georgia's name for the federal EPSDT benefit — children and adolescents under 21 on Medicaid are entitled to all medically necessary services to treat physical and mental health conditions. The standard is medical necessity, not a fixed cap.
If a care management organization denies a service, you have the right to a plan appeal and to a Medicaid state fair hearing. Filing quickly can keep existing services in place while the appeal is decided.
Residential treatment and what to verify
For youth who need 24-hour care, Georgia's Psychiatric Residential Treatment Facilities (PRTFs) are the Medicaid-recognized residential level, licensed by Healthcare Facility Regulation (HFR) within DCH. Before any placement:
- Confirm licensing through DCH's Healthcare Facility Regulation division — a legitimate Georgia residential program is state-licensed.
- Be cautious about out-of-state placements. Families are sometimes steered toward out-of-state residential or wilderness programs Georgia would not license. Hartley's investigative cluster explains why that pattern deserves skepticism.
- Ask about restraint and seclusion, staffing, and discharge planning — and get the answers in writing.
Insurance and parity — Georgia's HB 1013
Georgia made national news in 2022 with the Mental Health Parity Act (HB 1013), a landmark state law that put real teeth behind the principle that mental health and substance use care must be covered comparably to physical health care. For families of teens, the parts that matter most:
- It anchors coverage to "generally accepted standards of care," limiting insurers' ability to substitute their own narrower definitions of what's medically necessary.
- It requires the insurance commissioner to conduct annual parity data calls and publish compliance reports, and to maintain a repository for consumer and provider complaints about suspected parity violations.
- It splits enforcement — DCH oversees parity for Medicaid, and the Office of Commissioner of Insurance oversees it for private plans.
When a state-regulated plan denies care, the path is an internal appeal, then an independent external review, plus a parity complaint to the Office of Commissioner of Insurance. For self-funded ERISA (large-employer) plans, the federal external review process and complaints to the U.S. Department of Labor apply instead. Always get the denial in writing with the specific criteria used, and ask your teen's clinician to document medical necessity.
School-based mental health resources
School counselors and social workers are usually a family's fastest entry point for evaluations, 504 plans, and IEP processes when a teen's mental health is affecting school. Georgia also runs the Georgia Apex Program, a DBHDD initiative that places community mental health clinicians directly in many public schools, making it easier for students to access services during the school day. Georgia's large districts — Gwinnett, Cobb, DeKalb, Fulton, and Atlanta Public Schools — have invested in school-based behavioral health, and a GCAL crisis response can reach a teen at school, not just at home.
Other Georgia-specific resources
Georgia Crisis and Access Line (GCAL)
The statewide 24/7/365 behavioral health crisis line and the dispatch point for mobile crisis teams. Free; also available through the My GCAL app.
Georgia Parent Support Network
A family-run organization — Georgia's Federation of Families for Children's Mental Health — offering advocacy, peer support, and guidance for families of children with mental health and behavioral needs.
Georgia Advocacy Office
Georgia's federally designated protection and advocacy agency. Free advocacy for people with disabilities, including disputes over Medicaid behavioral health denials and special education rights.
NAMI Georgia
The Georgia organization of the National Alliance on Mental Illness. Education, family support groups, and local affiliates statewide; the national NAMI HelpLine provides information and referrals.
Georgia Department of Community Health — Mental Health Parity
State information on the HB 1013 Mental Health Parity Act and Medicaid behavioral health coverage, and where Medicaid parity questions are handled.
What this guide doesn't cover (yet)
Coming additions will include:
- City and regional resource pages for metro Atlanta, Savannah, Augusta, and Columbus
- A step-by-step walkthrough of a GCAL call and what a mobile crisis response looks like
- A closer look at Georgia Families 360° for youth in foster care and juvenile justice
- Profiles of Georgia's licensed PRTFs based on public records
- Georgia's adolescent substance use treatment landscape
If something here is wrong or out of date, please tell us.
Sources
- Georgia Department of Behavioral Health and Developmental Disabilities, "The Crisis System of Georgia" and "988 in Georgia," dbhdd.georgia.gov
- Georgia DBHDD, "Mobile Crisis Services" and Children, Young Adult, and Family Crisis Services, dbhdd.georgia.gov
- Georgia Medicaid, "Georgia Families" and "Georgia Families 360°," medicaid.georgia.gov
- Georgia Medicaid, EPSDT / Health Check policies and PeachCare for Kids, medicaid.georgia.gov
- Georgia Department of Community Health, "Mental Health Parity Information" (HB 1013, the Georgia Mental Health Parity Act, 2022), dch.georgia.gov
- Georgia Advocacy Office, Georgia protection and advocacy agency, thegao.org
- Federal Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA).