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What should I know about a Medicaid waiver?

Georgia residents and their families who are elderly, ill or have a condition that requires extensive care will have many concerns when long-term care is needed. Even if the person is covered by Medicaid, there remain issues as to where the care is given and what the living arrangements will be. For those who want to have the care at home or in their community and would prefer not to live in a facility to receive that care, understanding a Medicaid waiver is a critical part of the process. To use a Medicaid waiver, having legal advice can be imperative.

These are referred to as Home and Community-Based Services (HSBS). For this waiver, the following must be in place: it must be demonstrated that the services provided via the waiver will not exceed the cost of the same services being provided in a facility; the person's health and welfare must be protected; there must be a sufficient and reasonable set of standards that will adhere to the public's needs; and there must be a plan of care that follows that which would be provided in an institution and focus on the individual.

There are target groups that will have their needs met with the waiver. It varies based on categories such as the person's age, what injury they suffer from, or their condition. With the waiver, there can be a combination of medical and non-medical care and services. That includes residential and daycare; personal care; adult health services; a home health aide and more. There are other services that can help to transition the person from the facility to return home and reside in their community.

Understanding the available options with Medicaid can be complicated. Those who are concerned about living arrangements and are hoping that they can receive care at home or in their community in lieu of a facility should think about seeking a Medicaid waiver. A law firm that specializes in assisting people with Medicaid can provide guidance. It might be useful to call for a consultation and learn the steps in the process to get a Medicaid waiver.

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