Georgia-specific Medicaid spend-down rules
Georgia administers Medicaid through the Department of Community Health (DCH) and the Division of Family and Children Services (DFCS). Long-term care applications start at county DFCS offices or online through Georgia Gateway in counties like Fulton, Chatham, Richmond, DeKalb, and Cobb.
Nursing home Medicaid covers skilled nursing facility care for aged, blind, or disabled applicants who meet income and resource tests. The Elderly and Disabled Waiver Program (EDWP) offers home and community-based services, but asset tests still follow the same $2,000 resource standard for the applicant in most cases.
Georgia does not use a medically needy income spend-down for most nursing facility cases the way Pennsylvania does. Families above the $2,982 monthly income cap must assign excess funds to a Qualified Income Trust, also called a Miller Trust, with a Georgia trustee.
Community spouses may keep the greater of the CSRA calculation or certain income protections under spousal impoverishment rules. The state uses the federal maximum home equity cap of $713,000 in 2026 unless a spouse or dependent child still lives in the house.
Burial spaces, one vehicle, and up to $10,000 in designated burial funds per person can be excluded for ABD long-term care applicants if titled correctly and documented on Form 985. Prepaid funeral contracts follow separate PAMMS policy worksheets.
Look-back reviews cover asset transfers made within 60 months before application. Penalty length equals the uncompensated transfer amount divided by the average monthly nursing home cost published by DCH.
Rural applicants in Valdosta and Rome follow the same resource test as families in Atlanta. EDWP waiver interest lists vary by region, but the $2,000 asset cap does not.
Common mistake: Assuming Georgia exempts a second home because it is "in the family." Non-homestead real estate counts unless occupied by a spouse or dependent child under DFCS rules. Budget property taxes and sale costs before you rely on an appraisal.