Medicaid is a federal- and state-funded program that provides health care benefits to low-income Americans with few resources, including families with young children, pregnant women and those who are blind, disabled or elderly. Each state implements and administers its own Medicaid plan in accordance with federal guidelines.
The Georgia Medicaid program provides more than 1.75 million state residents with a wide range of health services, including primary and specialist care, emergency and inpatient hospital services, lab tests and X-rays, prescription drugs and institutional nursing home care.
To qualify for long-term care through Georgia Medicaid, Stockbridge residents must:
- Be U.S. citizens or qualified aliens
- Be aged 65 or older or disabled if aged 64 or younger
- Have less than $2,313 in monthly income
- Own less than $2,000 in countable assets as an individual or $3,000 as a couple applying together
Single applicants who meet the above asset limits but have $771 or less in monthly income ($1,157 for couples) qualify for Georgia Medicaid and
Supplemental Security Income benefits through the Social Security Administration.
Income from all sources counts for Medicaid eligibility purposes, but some assets are disregarded. These include an applicant’s principal home if valued at less than $585,000, household and personal effects, one car and irrevocable burial trusts.
A married applicant who exceeds these limits may still qualify for coverage if their spouse doesn’t apply. Up to $3,160.50 of the applicant’s monthly income and $126,420 in jointly owned assets may be disregarded as spousal living and resource allowances, which may help them reach the required eligibility thresholds.
Stockbridge residents can
apply for Georgia Medicaid online, by visiting the
Henry County Department of Family and Children’s Services office at 125 Henry Parkway in McDonough or by calling (770) 954-2014.
CCSP and SOURCE Medicaid Waivers Only nursing home care is provided as an entitlement under Georgia Medicaid. To reduce the number of nursing home placements, the state Medicaid plan offers two waiver programs that cover community-based care services.
The
Community Care Services program offers qualified seniors comprehensive care through a combination of social support and health services. Those approved for the program receive an evaluation by a care coordinator who then formulates an individualized care plan in collaboration with the applicant’s primary care doctor. The coordinator supervises delivery of approved services, which may include personal care assistance and 24-hour supervision in a community-based assisted living setting.
The
Service Options Using Resources in a Community Environment waiver provides case management, primary medical care and long-term care services in a participant’s home or a community setting. Applicants assessed as eligible for the program receive a personalized care plan that addresses their particular needs along with round-the-clock access to their primary care doctor and case manager. Covered services can include assistance with activities of daily living and approved personal supports.
To qualify for either waiver program, applicants must meet Medicaid’s functional, financial and residency requirements. Additionally, they must be assessed as needing an intermediate or nursing home level of care but deemed able to live outside a nursing facility.
These waiver programs don’t cover the cost of assisted living room and board. They may also be subject to enrollment caps, so eligible seniors could be placed on a waiting list before receiving services.
To schedule an assessment to begin the application process for the CCSP or SOURCE waiver programs, Stockbridge seniors should contact the
Atlanta Regional Commission Aging Division at (404) 463-3333.