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How does Medicaid cover nursing home care in Georgia?

On Behalf of | Apr 30, 2025 | Medicaid |

Medicaid provides financial support for nursing home care, which can be a huge help for individuals who can’t afford it. Understanding the guidelines and coverage options in Georgia will allow you to better plan for potential long-term care needs.

Eligibility for nursing home Medicaid in Georgia

To qualify for Medicaid in Georgia, applicants must meet specific income and asset limits. The applicant must also have a significant medical need for long-term care, such as requiring assistance with daily activities. If your income exceeds the limit, you may need to spend down assets to qualify. Your spouse’s financial situation is also considered in the eligibility process.

What does Medicaid cover in Georgia?

Once approved, Medicaid will cover most nursing home expenses, including room and board, nursing care, therapy services, and medical supplies. However, Medicaid does not pay for luxury services such as private rooms or certain extra amenities. Medicaid also provides Home and Community-Based Services (HCBS) waivers, which allow eligible individuals to receive care in their homes or communities rather than in a nursing facility.

How to apply for Medicaid for nursing home care in Georgia

You can apply for Medicaid online, by mail, or in person at a local Division of Family and Children Services (DFCS) office. The application requires submitting financial and medical documents, such as proof of income, bank statements, and medical records. After reviewing your application, the state will notify you of your eligibility and the next steps.

Medicaid planning for nursing home care in Georgia

Medicaid planning involves ensuring that your financial situation aligns with Medicaid’s eligibility rules. This may require asset assessment, spending down assets, or setting up a Medicaid trust. Consulting with a Medicaid planner can be extremely helpful to guide you through the process and protect your assets.

Understanding how Medicaid supports nursing home care in Georgia allows you to plan effectively for long-term care needs and avoid unnecessary financial stress.

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