Georgia Medicaid - A Guide to Medicaid and Managed Care in Georgia

Medicaid is the largest division in the Georgia Department of Community Health. This program provides health care for children, pregnant women, people over the age of 65, and blind and otherwise disabled people. It is funded by matching federal and state funds in a joint project to improve the health of people who otherwise could not get the care they need. Per enrollee, Georgia Medicaid spends around three thousand dollars per year on average. This number, however, is different depending on who is covered. Children who receive Medicaid coverage usually represent a little more than a thousand dollars per enrollee, whereas the disable and elderly receive closer to $7,500 dollars per year per enrollee. The federal government contributes around $1.50 per every dollar the state spends on Medicaid.

If you believe you may be eligible for Medicaid coverage, you should contact your local office to find out more details. Eligibility requirements for Medicaid include a low income and low personal assets, as well as other requirements, like age or disability. Pregnant women and children under the age of six whose family income is 133% or less of the federal poverty level are eligible for Medicaid coverage in Georgia. People over the age of 65 who meet the requirements to receive SSI income are also eligible for Medicaid benefits. You must be a citizen of the US, able to provide a Social Security number, and have less than $2,000 in assets. Couples must have less than $3,000 in combined assets to qualify for Medicaid. In addition, you must have limited income below a certain level, which may vary by your living arrangement.

Medicaid will cover nursing home managed care for aged people or disable people who are unable to function fully on a daily basis. Medicaid in Georgia will cover some of the expenses of home care, but not as much as with managed care. This means that it can be difficult to stay at home and still receive adequate coverage. Medicaid in Georgia will cover in and outpatient hospital stays, physician appointments and laboratory services, as well as nursing facility services and home health services. To find out which facilities and providers are certified by Medicaid in your area, contact your local office.

If you or a member of your family may need managed or long term care in the near future and you are a low income individual, you should investigate the possibility of receiving Medicaid benefits. The Georgia Medicaid website can provide more information, or you can contact your local Medicaid office. Many people in this country are eligible for Medicaid benefits, but unaware that they are able to receive them. Managed care and long term assistance can become much more available to people once they begin receiving benefits from the Georgia Medicaid program.

 

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