Low-income seniors in Georgia may be eligible for the state’s Medicaid program. Administered by the Georgia Department of Community Health, Medicaid helps recipients pay for medical bills. Eligible adults over the age of 65 can get access to a variety of health benefits, including doctor visits, X-ray services, vision and dental care, medical equipment and supplies, emergency services, prescription drugs and immunizations.
Many Medicaid-covered services prove crucial for aging adults, such as inpatient hospital services, outpatient hospital services, nursing facilities, home health services and hospice care. It doesn’t cover assisted living costs, however. For access to this additional coverage, seniors will need to apply to other state-sponsored programs.
To receive Medicaid coverage, Forsyth County residents must meet the state’s eligibility requirements, which include income and citizenship status. Georgia residents over the age of 65 may be eligible for Medicaid if they are U.S. citizens or qualified immigrants. While nonqualified immigrants aren’t eligible for full Medicaid coverage, they may be eligible for Emergency Medical Assistance.
In Georgia, each Medicaid category sets distinct income limits. For seniors who fall under the Aged, Blind and Disabled category, 2019 income limits are $317 per month (individuals) and $375 per month (couples). For seniors who qualify for Supplemental Security Income (SSI), the limits are $771 per month (individual) and $1,157 per month (couple). Countable assets cannot exceed $2,000 (individual) or $3,000 (couple).
Georgia provides other options for low-income seniors who don’t meet these specific limits. There is the Medically Needy “Spend Down” program, which is available for seniors who meet the limits when their unpaid medical bills are subtracted from their monthly income. The state also offers the Georgia Long Term Care Partnership, which creates a partnership between long-term care private insurers and Medicaid, and it provides Medicaid asset protection.
When Forsyth County adults over the age of 65 decide to apply for Medicaid, they should apply to the Supplemental Security Income (SSI) program rather than the Medicaid program. If seniors are accepted into the SSI program, they will be automatically enrolled in the Medicaid program. Seniors who apply to the Medicaid program first, on the other hand, will have to fill out a separate application to receive SSI benefits.
Completed applications are reviewed by eligibility specialists. The review process usually takes between 45 and 60 days. Seniors should save medical bills incurred during this period as Medicaid may pay them once seniors are officially enrolled.
For more information, Forsyth County seniors can contact the Social Security Administration office by calling (800) 772-1213 or the Medical Assistance support hotline by calling (877) 423-4746.
Georgia’s Medicaid program runs the Elderly & Disabled Waiver Program, which offers Medicaid-eligible seniors two waiver options. Forsyth County adults eligible for these waiver programs may only participate in one of them.
The Service Options Using Resources in a Community Environment (SOURCE) program gives seniors access to long-term health services. SOURCE services can be used in the senior’s home or in an acceptable community-based setting, such as an assisted living facility. Seniors accepted into this waiver program will work with a case manager to design an individual care path, which will cover medical monitoring, functional assistance and personal support services.
To qualify for SOURCE, seniors must require nursing home levels of care and be eligible for Medicaid. During the application process, a comprehensive assessment will be conducted to determine eligibility and care requirements.
For more information about the application process, seniors can call the Home and Community Based Services office at (866) 552-4464.
The Community Care Services Program (CCSP) is another way for seniors in Forsyth County to finance assisted living costs. Like SOURCE, this waiver program provides community-based services to eligible seniors. It can be used to finance the costs of state-licensed personal care homes, which offer residents a supervised alternative to traditional nursing homes. CCSP participants can access additional benefits as well, such as emergency response services, personal support services and respite care.
To qualify for the program, seniors must meet the health and finance requirements. They must demonstrate a need for an intermediate level of nursing home care, and they must have physical limitations that leave them functionally impaired. To meet the income requirements, seniors must be Medicaid eligible.
To apply, seniors can call (866) 55-AGING.