Americans with limited income and few assets who can’t afford health insurance have a safety net through Medicaid. This jointly funded collaboration between the federal and state governments provides basic health care for over 65 million people, including parents with dependent children, pregnant women, adults with disabilities and seniors.
In Georgia, the state Medicaid program provides essential health care services to over 1.75 million residents, one in four of whom are elderly, blind or disabled. The program provides enrollees with numerous health care benefits, including doctor and specialist care, inpatient, outpatient and emergency hospital services, X-rays, lab tests, prescription medications and long-term care in nursing homes.
Qualifying for Medicaid Long-term Care Coverage
To qualify for long-term care coverage from Georgia Medicaid, Coweta County residents must be American citizens or legal immigrants and:
- Be 65 years of age or older or aged 64 or younger and disabled
- Have a maximum monthly income of $2,313 per person
- Have countable assets worth no more than $2,000 if single or $3,000 if married and applying jointly with a spouse
Those who meet the financial requirements for
Supplemental Security Income benefits are enrolled in Georgia Medicaid automatically.
To determine applicants’ eligibility for Medicaid coverage, the state considers all sources of income, including wages, Social Security and VA benefits, pensions, dividends and interest. Several assets aren’t counted toward the limits, including personal effects, one vehicle, a primary home worth less than $585,000, household goods and irrevocable burial trusts.
Seniors can
apply for Georgia Medicaid online, by visiting the
Coweta County Department of Family and Children’s Services office at 533 Highway 29 North in Newnan or by calling (770) 254-7234.
CCSP and SOURCE Medicaid Waivers The Georgia Medicaid program only covers institutional nursing home care as an entitlement. To help seniors avoid nursing home placement, the state also offers two waiver programs that cover services in a community setting. The waiver programs help the state save money on long-term care costs and let eligible seniors enjoy a less restrictive lifestyle.
Community Care Services Program The
CCSP waiver provides all-inclusive medical and long-term support services for Medicaid-eligible seniors. Those accepted into the program are evaluated, and a custom care plan is developed to meet their specific needs. Participants receive care coordination, assistance with activities of daily living and around-the-clock supervision in the community-based setting of their choice.
Service Options Using Resources in a Community Environment Waiver The
SOURCE waiver provides supportive services, including case management, Medicaid medical care and long-term services and supports in an enrollee’s home or a community setting, such as an assisted living facility. Approved applicants have 24-hour access to their assigned case manager and primary care doctor and receive a care plan tailored to their personal needs. Based on this plan, participants can receive various personal support services, such as assistance with daily living activities.
To qualify for these two waiver programs, Coweta County residents must:
- Meet the residency, functional and financial requirements of Georgia Medicaid
- Be assessed as requiring an intermediate or nursing home level of care
- Be physically and cognitively capable of living in a community setting
Those approved for either program must pay the room-and-board portion of their assisted living facility fees. The waivers aren’t Medicaid entitlement programs, and participation is capped so approved applicants may have to wait to receive services depending on availability.
To schedule an assessment to begin the CCSP or SOURCE waiver application process, Coweta County residents can contact the
Three Rivers Area Agency on Aging at (866) 854-5652.