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STATE PROFILE • Last updated: April 24, 2026

Georgia Medicaid & Elder Care

Georgia's senior Medicaid landscape offers critical home and community-based services through CCSP and SOURCE waivers, requiring a Nursing Facility Level of Care and strict income/asset adherence with Miller Trusts.

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Medicaid Report Card

Overall State Performance Index

C Grade
ELIGIBILITY ACCESSIBILITY MODERATE
WAIVER AVAILABILITY STRONG
QUALITY OF CARE CRITICAL

Based on CMS Nursing Home Compare + state Medicaid agency data

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Georgia Monthly Costs

NURSING HOME (SEMI-PRIVATE) $9,086 State Avg / Month
ASSISTED LIVING $3,535 State Avg / Month
ADULT DAY HEALTH CARE $1,584 State Avg / Month

Georgia's long-term senior care costs, including assisted living and nursing home care, are generally lower than the national average.

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Waiver Programs

Community Care Services Program

The Community Care Services Program (CCSP) provides home and community-based services for elderly or disabled Georgians who require a Nursing Facility Level of Care but choose to receive care in the community. It supports individuals needing moderate assistance to remain in their homes or alternative living settings.

  • check_circle Adult Day Health
  • check_circle Alternative Living Services
  • check_circle Emergency Response Services
  • check_circle Home Health Services
  • check_circle Personal Support Services
  • check_circle Respite Care
  • check_circle Structured Family Caregiver

insights Program Snapshot

Functional criterion
Nursing Facility Level of Care (NFLOC)
Administered by
Georgia Department of Community Health
Income limit (single, 2026)
$2,982/month
Recertification
Annual (typical)

2026 Eligibility Requirements

Criteria Individual Limit Married (Both Applying)
Monthly Income $2,982 $5,964
Asset Limit $2,000 $3,000
Home Equity Limit $752,000
Level of Care Nursing Home Level of Care (NFLOC)
If income exceeds the cap, a Qualified Income Trust (Miller Trust) is required to achieve income eligibility.
home_work

Estate Recovery Warning

Georgia MERP: Aggressive
info State may place a lien on the home for care costs after death.
info Recovery delayed while surviving spouse resides in home.
info Exemption possible for permanently disabled children or children under 21.
info Estates with a gross value of $25,000 or less are exempt from recovery.

Georgia's Medicaid Estate Recovery Program seeks reimbursement for long-term care costs from a deceased recipient's estate, including real property. Recovery is delayed for surviving spouses or minor/disabled children, and estates under $25,000 are exempt.

savings

Spend-Down & Asset Protection

Medically Needy Pathway Miller Trust Required Income Cap State

PROTECTED ASSETS

Primary home up to $752,000 equity One vehicle (any value) Personal belongings Burial plots Life insurance (under $10,000 face value, applied to burial exclusion)

COMMON PITFALLS

  • warning Look-back Period: Gifts made within 60 months trigger heavy penalties.
  • warning Excess Income: Failing to establish a Miller Trust if income exceeds the cap.
  • warning Joint Accounts: Full balance is often counted as applicant's asset.
Community Spouse Resource Allowance (CSRA): $162,660

First Steps for Families

1

Locate your ADRC

Contact your local Georgia Aging and Disability Resource Center.

2

Gather 5 years of records

Bank statements, deeds, asset transfers for the Medicaid look-back period.

3

Financial assessment

Consult a Medicaid planner if assets exceed $2,000.

View Full Application Process ↓
Georgia state capitol

Resource Contact

Georgia Department of Community Health

call (877) 423-4746
Official site open_in_new

How to Apply for Georgia Long-Term Care Medicaid

1
Assess Level of Care

Obtain medical certification of nursing home need (NFLOC).

2
Gather Records

Collect financial and medical documents, including 60 months of financial statements.

3
Setup Miller Trust

Required if monthly income exceeds the cap.

4
Submit Application

Apply through Georgia Gateway online, by phone (877-423-4746), mail, or in person at a DFCS office.

5
Interviews

Attend required caseworker evaluation meetings during the application process.

6
Approval & Care

Receive final determination and benefit activation after eligibility is confirmed.

Documents You'll Need

Financial Verification

  • 5 years of bank statements
  • Stock/bond certificates
  • Retirement account info

Income Verification

  • Social Security award letters
  • Pension stubs
  • VA benefit statements

Medical/Identity

  • Social Security card
  • Medicare card
  • Doctor's clinical assessments

Property/Residency

  • Home deed
  • Vehicle registration
  • Proof of Georgia residency
timer Federal Deadline: 45 Days
update Typical Georgia Processing: 90 Days

Frequently Asked Questions About Georgia Medicaid

Does Georgia Medicaid pay for assisted living?

Yes, Georgia Medicaid, through its Home and Community Based Services (HCBS) waivers like SOURCE and CCSP, can cover services provided in assisted living facilities, often referred to as personal care homes. However, these waivers typically do not cover the cost of room and board in these facilities.

What is the Georgia Medicaid income limit for seniors in 2026?

For Nursing Home Medicaid and Home and Community Based Services (HCBS) Waivers in Georgia, the income limit for a single applicant in 2026 is $2,982 per month. For married couples, if both spouses are applying, the combined income limit is $5,964 per month. If income exceeds this, a Qualified Income Trust (Miller Trust) is generally required.

How long is the HCBS waiver waitlist in Georgia?

Home and Community Based Services (HCBS) Waivers in Georgia, such as the Community Care Services Program (CCSP) and Service Options Using Resources in a Community Environment (SOURCE), are not entitlement programs and have enrollment caps. While specific 2026 waitlist numbers are not published, a waitlist can form, and the enrollment process may take two to four months or more.

Will Medicaid take my parent's house in Georgia?

Medicaid does not take a person's house during their lifetime. However, after the Medicaid recipient's death, Georgia's Estate Recovery Program may seek reimbursement for long-term care costs from the deceased individual's estate, which can include the home. Recovery is typically delayed if a surviving spouse or a minor or permanently disabled child resides in the home.

Can I be paid to care for my parent through Georgia Medicaid?

Yes, Georgia Medicaid waivers, specifically the Community Care Services Program (CCSP) and Service Options Using Resources in a Community Environment (SOURCE) under the Elderly and Disabled Waiver Program (EDWP), offer consumer-directed options. This allows eligible participants to hire and pay qualified family caregivers, including those who live in the home, for personal support services.

Medicaid vs Medicare for long-term care in Georgia?

Medicare primarily covers short-term, skilled nursing care and rehabilitation, but generally does not cover ongoing long-term custodial care in nursing homes or extensive home care. In contrast, Medicaid is the primary payer for long-term care services in Georgia, providing financial assistance for nursing home care and home and community-based services for eligible low-income seniors.

TOPICAL GUIDES — HOW MEDICAID WORKS

EXPLORE GEORGIA

Last updated: April 24, 2026. Sources: Georgia Department of Community Health, CMS Nursing Home Compare, Genworth 2024 Cost of Care Survey. Eligibility rules are set by each state Medicaid agency and update annually. We cite the agency name, statute, or CMS data source for every figure on this page; see our methodology and editor.