Americans with little income and few resources may qualify for health care services through Medicaid, the nationwide program designed specifically to serve needy residents, including pregnant women, families with young children, blind and disabled adults and the elderly.
In Georgia, the state Medicaid program offers medical and long-term care coverage to state residents who are U.S. citizens or qualified aliens and:
- Are at least 65 years old or disabled and aged 64 and younger
- Have a monthly income of less than $2,313 per individual
- Own assets valued at less than $2,000 for single people and $3,000 for couples who are both applying
Seniors and disabled residents eligible for federal
Supplemental Security Income benefits receive Georgia Medicaid coverage automatically without filing a separate application. The SSI program has the same asset limits as Medicaid, but the income limits are much lower at $771 per month for individuals and $1,157 for married couples.
Georgia Medicaid looks at income from all sources but disregards some assets, such as an applicant’s home valued below $585,000, household and personal effects and one vehicle.
The program offers exceptions to these limits for a married individual whose spouse isn’t applying for coverage:
- The non-applicant’s income is excluded, and the applicant can transfer as much as $3,160.50 in monthly income to their spouse as a living allowance
- Up to $126,420 of the couple’s jointly owned assets are excluded and can be retained by the non-applicant spouse
Acworth seniors can
apply for Georgia Medicaid online or by visiting the
Cobb County Department of Family and Children’s Services office at 325 S. Fairground St. in Marietta. Those with questions can call (770) 528-7683 for assistance.
SOURCE and CCSP Medicaid Waivers Long-term care in a nursing home is an entitlement under Georgia Medicaid. Coverage for services in an assisted living facility is provided through one of two Medicaid waiver programs administered through local Area Agencies on Aging.
The
Service Options Using Resources in a Community Environment program provides qualified seniors with case management of long-term and primary medical care in their home or a community setting. Once enrolled in the program, seniors are assessed and an individualized care plan is developed to address their needs. In addition to 24-hour access to case management and physician services, participants can receive assisted living care and personal supports.
The
Community Care Services program provides health, social and support services to give qualified seniors an alternative to nursing home admission. Seniors accepted into the program are evaluated by an assigned care coordinator who develops a comprehensive care plan based on their needs and arranges delivery of approved services. In addition to ongoing monitoring by their case coordinator, seniors may receive 24-hour supervision and personal care assistance in a state-approved alternative care setting such as an assisted living community.
To qualify for either program, applicants must be Medicaid eligible and need a nursing home or intermediate level of care but able to reside safely in the community. These waiver programs aren’t Medicaid entitlements, so there may be a wait to receive services due to participation caps.
To begin the application and assessment process for the SOURCE or CCSP program, seniors can contact the
Atlanta Regional Commission Aging Division at (404) 463-3333.