The federal and state government-funded Medicaid program provides essential health care services for low-income Americans with limited resources. Individual states implement their own Medicaid program within a federal regulatory framework.
More than 1.75 million state residents are enrolled in the Georgia Medicaid program, including over 400,000 blind, disabled and elderly individuals. Those who qualify receive wide-ranging health care benefits, including doctor and specialist visits, inpatient, outpatient and emergency hospital services, X-rays, lab tests, prescription medications and long-term nursing home care.
Qualifying for Medicaid in Georgia
Buford residents must be American citizens or legal immigrants to qualify for Medicaid assistance for long-term care and meet these additional eligibility requirements:
- Be aged 65 or older or aged 64 or younger and blind or disabled
- Have a monthly income of $2,313 or less per person
- Have no more than $2,000 in countable assets if single or $3,000 if married and applying with a spouse
Applicants who meet the above mentioned asset requirements and have $771 or less in monthly income if single or $1,157 or less as a couple are automatically eligible for Medicaid and
Supplemental Security Income benefits from the Social Security Administration.
Georgia Medicaid considers all sources of income, but disregards a number of assets from the above limits. Exempt assets include:
- Personal belongings
- One vehicle
- Irrevocable burial trusts
- An owner-occupied primary home worth less than $585,000
- Household furnishings
Spousal Living and Resource Allowances If only one spouse of a married couple applies, the spouse remaining at home may be entitled to up to $3,160.50 of an applicant’s monthly income and $126,420 in joint assets. Once these
spousal living and resources allowances are calculated, an applicant who’d otherwise exceed the income and asset limits may qualify for Medicaid long-term care coverage.
Buford seniors can
apply for Georgia Medicaid online, visit the
Gwinnett County Department of Family and Children Services office located at 95 Constitution Boulevard in Lawrenceville or call (678) 518-5500.
Georgia Medicaid Waiver Programs Georgia Medicaid only provides institutional nursing home care as an entitlement. To help eligible seniors stay in the community and reduce nursing home admissions and the overall cost of care, the state offers two waiver programs that help pay for community-based long-term care.
SOURCE Waiver Seniors approved for the
Service Options Using Resources in a Community Environment waiver receive comprehensive primary care, case management and long-term support services in their home or a community setting. A personalized care plan is developed for each participant based on their needs, which includes 24-hour access to their case manager and primary care doctor, along with personal support services and assistance with daily living activities.
CCSP Waiver The
Community Care Services program provides eligible seniors with all-inclusive medical and support services. Approved applicants are evaluated by their assigned care coordinator and have a personalized long-term care plan developed in cooperation with their primary care physician. The services provided in a community assisted living setting may include 24-hour supervision, personal care and help with daily living activities.
Buford residents who wish to apply for either waiver program must meet the financial, functional and residency requirements for Georgia Medicaid. They must also need an intermediate or nursing facility level of care, but be capable of living safely in the community with support.
Seniors approved for the SOURCE and CCSP programs are responsible for paying the room-and-board portion of their facility fees. Because the waivers have participation caps, applicants may also be placed on a waiting list to receive services depending on availability.
To learn more about the CCSP or SOURCE waiver programs or to begin the application process, Buford residents should contact the
Atlanta Regional Commission Aging Division at (404) 463-3333.