Everything You Want To Know

Medicaid / Georgia

Medicaid for Home Care in Georgia

Medicaid Certified Home Care Agency in Georgia

The agencies delivering homecare services and looking for reimbursement from Georgia Medicaid should follow certain regulations determined by the state of Georgia. One can get complete information through the state’s Bureau of Licensing and Certification.

Adequate certification, along with a valid license is mandatory in some states to claim Medicaid reimbursement. One can get complete information through the state’s Bureau of Licensing and Certification.

Governing Body: Georgia Medicaid


Medicaid programs in Georgia are funded by the state and federal government to provide health coverage for seniors, pregnant women, parents, children, blind people, disabled people, and caregivers in need of nursing home care. Anyone outside these is not covered under Medicaid. In the state of Georgia, the Medicaid programs are offered by the Georgia Department of Community Health (DCH).

Medicaid Programs:

  • Community Care Services Program Waiver (CCSP)
  • Service Options Using Resources in a Community Environment (SOURCE) Waiver
  • Emergency Assistance for Undocumented Residents
  • Medically Needy
  • Community and Nursing Home Care

Income Requirements:

  • Parents/caretakers who make $3,720 per year for a family of one
  • Parents/caretakers who make $7,836 per year for a family of four ($600 per year for additional member)
  • Pregnant women who make $26,532 per year for a family of one
  • For senior, blind and disabled people, the income limit is $317 to $375 per month, and resource limits are $2,000 to $4,000
  • For those receiving SSI, the income limits are $735 to $1,103 per month, and resource limits are between $2,000 and $3,000

Application Process:

The application process for accessing Medicaid in Georgia is not complex; anyone can apply for the available Medicaid programs by visiting Georgia Gateway.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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