Gilmer Nursing Home

Nursing Home Medicaid Eligibility
Qualification limits for the Medicaid program vary depending on the type of Medicaid received. If a person already has Medicaid, please note that it may not pay for nursing facility services. If you do not already have Nursing Home Medicaid a full Medicaid application must be completed once admitted into the nursing home. These forms can be located through the nursing home Admissions Coordinator or the local DFCS office.

Helpful Tips
When applying for Medicaid the following eligibility requirements must be met:

Nursing Homes - Aged, blind or disabled individuals who live in nursing homes and have low income and limited assets.

Income Limits
$2,022 per month ($24,264 per year)

Resource Limits
Individual - $2,000
Couple - $3,000

Source: Georgia Department of Community Health Website Retrieved August 1, 2009 from http://dch.georgia.gov/00/channel_title/0,2094,31446711_31945377,00.html

Income Limits are based on GROSS income. Please note that amount received from Social Security, Pension, VA or other retirement benefits may have deductions withheld. Information of gross benefit is normally distributed annually from the source. Some State and Federal benefits are verified semi-annually. Resources include but are not limited to Banking accounts (checking , savings, CD's, money market, etc), stocks, rental property, life insurance ($10, 000.00+), property, homeplace, etc. Please note that these are just examples of the types of items that must be provided if Medicaid in the nursing home is requested.

Income Limit Chart (updated as of 3/1/09): http://dch.georgia.gov/vgn/images/portal/cit_1210/6/18/1330656912009FinancialLimitsChartFinal3.pdf

Also, please be aware that Georgia does participate in the Estate Recovery program and has a separate group that handles those issues. A summarized excerpt from the Department of Medical Assistance is listed below (DMA Form 315) and a copy of that information may be attained directly from the Department of Community Health Website at:

http://www.odis.dhr.state.ga.us/3000_fam/3480_medicaid/MANUALS/FORMS/DMA%20315.doc

Please note that these are general reference guidelines and by no means. Actual eligibility is attained through the local DFCS office subject to verification of all parts of the Medicaid application process. Important contact information is attached for your convenience. We at Gilmer Nursing Home appreciate the ongoing support of the community and look forward to helping with your long- term care placement.

General Medicaid Eligibility Information
SSI Recipients - Aged, blind or disabled individuals who receive Supplemental Security Income (SSI)

Income Limits
Individual - $674 per month ($8,088 per year)
Couple - $1,011 per month ($12,132 per year)

Resource Limits
Individual - $2,000
Couple - $3,000


Community Care - Aged, blind or disabled individuals who need regular nursing care and personal services but can stay at home with special community care services.

Income Limits
$2,022 per month ($24,264 per year)

Resource Limits
Individual - $2,000
Couple - $3,000


Qualified Medicare Beneficiaries (QMB)- Aged, blind or disabled individuals who have Medicare Part A (hospital) insurance, and have income less than 100 percent of the federal poverty level and limited resources. Medicaid will pay the Medicare premiums (A&B), coinsurance and deductibles only.

Income Limits
Individual - $871 per month ($10,452 per year)
Couple - $1161 per ($13,932 per year)

Resource Limits
Individual - $4,000
Couple - $6,000


Hospice - Terminally ill individuals who are not expected to live more than six months may be eligible for coverage. Recipients must agree to receive hospice services through a Medicaid participating hospice care provider.

Income Limits
$2,022 per month ($24,264 per year)

Resource Limits
Individual - $2,000
Couple - $3,000


Low-Income Medicaid (LIM) -Adults and children who meet the standards of the old AFDC (Aid to Families with Dependent Children) program.

Family Size & Income Limits
1 - $235 per month ($2,820 per year)

2 - $356 per month ($4,272 per year)

3 - $424 per month ($5,088 per year)

4 - $500 per month ($6,000 per year)

For additional assistance http://dch.georgia.gov/00/channel_title/0,2094,31446711_31945377,00.html

Official Notice of the Georgia Medicaid Estate Recovery Program