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Eligibility criteria for Medicaid programs in Georgia

Medicaid is one of the most important federal programs for low income families living in Georgia. Most residents of the state know that Medicaid is intended primarily to help low income individuals and families, but other groups may also be eligible. In order to be eligible for Medicaid payments, a person must be in one of the eligible groups and have an income that does not exceed limits imposed by the state.

Groups eligible for Medicaid include women who believe they are pregnant, children and teenagers, people age 65 or older, and people who are legally blind, disabled or need nursing home care. A person must also provide proof of identity and proof of United States citizenship. Medicaid regulations prescribe a hierarchy of documents that can be used to establish identity and citizenship. Determining whether a person fits within one of these categories and whether the citizenship requirement has been satisfied is relatively straightforward, but the determination of financial need can be complex.

Medicaid in Georgia recognizes nine different classes of need, ranging from medically needy children to women under the age of 65 who have been diagnosed as having breast or cervical cancer. The income limit for medically needy children in a family of one is $2,496/year. For individuals who are medically needy, that is, aged, blind or disabled, the monthly limit is $317 for an individual and $375 for a couple.

Medicaid benefits can be essential to the financial well-being of eligible individuals and families. Anyone with questions about Medicaid eligibility may wish to consult an attorney who is knowledgeable about elder care and Medicaid planning. A knowledgeable lawyer can provide helpful advice about completing an application and providing the necessary evidence of eligibility and income.

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