Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
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In Georgia, the income limit is $2,982/month and the asset limit is $2,000 single. Georgia uses a 'Medicaid Cap' of $2,982 a month for one person ($5,964 for a couple) in 2026 for nursing home care and its home and community-based waivers, including the Elderly and Disabled Waiver. The resource limit is $2,000 for one person or $3,000 for a couple. People with income at or above the cap can qualify by putting income into a Qualified Income Trust. A spouse living at home can keep up to $162,660 in resources.
| Program | Georgia ABD Medicaid long-term care: Elderly and Disabled Waiver Program (CCSP and SOURCE), Independent Care Waiver Program, and nursing home Medicaid |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (the 'Medicaid Cap') |
| How income is counted | special income limit (300% SSI) |
| Qualified income (Miller) trust used | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 couple |
| Look-back period | 60 months |
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Georgia Medicaid waivers that pay for home care.
How to apply in Georgia (Georgia Department of Community Health (Medicaid agency); Division of Family and Children Services determines eligibility)
Authorizations
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Operations
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
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