The Official Medicaid Manual was located at http://odis.dhs.ga.gov/ChooseCategory.aspx?cid=813. Prior to the release of MT 72, it was moved to a different location under the name Policy and Manual Management System (PAMMS). Medicaid appears under the heading for Department of Family and Children Services in a drop-down menu on the left. This website (the one you are looking at right now) is an unofficial mirror of Georgia’s Medicaid Manual. It was originally developed more than a decade ago (then hosted under gaelderlaw.net) when the offical manual was frequently unavailable. All linked pages have been converted to PDF format. It is our plan to include current and prior versions of the Manual as it changes. Over time, we may also provide commentary on the manual.
With the release of MT 73, we now have links to the official manual sections beside the morror version hosted here. The new official version of the manual has hotlinks when the manual cross-references other sections. It is hoped that the official links will automatically update so we suggest that you use them when they are available (e.g., not down for maintenance).
How Do I Apply for Georgia Medicaid?
Non-Medicaid Home and Community Based Services
Current Application for Georgia Medicaid
CMS Medicaid Materials
Medicaid Resources
Wikipedia’s Medicaid page
Note: As with all pages on this website, this page is provided as a courtesy. It should not be relied on as a substitute for appropriate legal counsel.
CURRENT THROUGH TRANSMITTAL 73 (Last changed on 9-26-2024; last checked 9/30/2024)
With the release of Cover Letter 72, effective, August 16, 2024, the entire manual appeared as a single PDF document you can access here or here. To allow comparison of prior versions, and to allow for access when the official website is unavailable, we have posted a copy here: Medicaid Manual as of August 16, 2024 (Entire Manual). Links to individual sections are below, but the new font/format has not been updated for sections that have not changed.
Chapter 2000 – GENERAL MEDICAID INFORMATION
Chapter 2100 – CLASSES OF ASSISTANCE
Chapter 2200 – BASIC ELIGIBILITY CRITERIA
Chapter 2300 – RESOURCES
Chapter 2400 – INCOME
Chapter 2500 – ABD FINANCIAL RESPONSIBILITY AND BUDGETING
Chapter 2600 – FAMILY MEDICAID ASSISTANCE UNITS AND BUDGET GROUPS
Chapter 2700 – CASE MANAGEMENT
Chapter 2800 – ASSISTANCE TO CHILDREN IN PLACEMENT
Chapter 2900 – REFERRALS
APPENDICES
Chapter 2000 – GENERAL MEDICAID INFORMATION
- 2000 – General Program Overview | Official Link
- 2001 – Computer Matches Overview | Official Link
- 2002 – Income and Eligibility Verification System | Official Link
- 2003 – Internal Revenue Service (IRS) and Beneficiary Earnings Exchange Records System (BEERS) Information System | Official Link
- 2004 – Clearinghouse | Official Link
- 2005 – SSN Validation | Official Link
- 2010 – Confidentiality | Official Link
- 2011 – Health Information Portability and Accountability Act of 1996 | Official Link
- 2015 – Mandated Reporting | Official Link
- 2020 – Americans with Disabilities Act | Official Link
- 2025 – Title VI/Section 504 Civil Rights | Official Link
- 2030 – Georgia Health Partnership Overview (Removed)
- 2050 – Application Processing Overview | Official Link
- 2051 – Verification | Official Link
- 2052 – Continuing Medicaid Determination | Official Link
- 2053 – Retroactive Medicaid | Official Link
- 2054 – Emergency Medicaid Assistance | Official Link
- 2055 – Sponsored Aliens | Official Link
- 2060 – ABD Medicaid Application Processing | Official Link
- 2065 – Family Medicaid Application Processing | Official Link
- 2066 – Placement Outside of the Home (Family Medicaid) | Official Link
- 2067 – Presumptive Medicaid (Family Medicaid) | Official Link
- 2068 – Special Considerations | Official Link
- 2069 – Express Lane Eligibility | Official Link
Chapter 2100 – CLASSES OF ASSISTANCE
- 2101 – ABD Medicaid Classes of Assistance Overview | Official Link
- 2111 – Supplemental Security Income (SSI) Medicaid | Official Link
- 2113 – Pickle (Public Law 94-566) | Official Link
- 2115 – Disabled Adult Child (Public Law 99-643) | Official Link
- 2116 – Former SSI-Disabled Child | Official Link
- 2117 – Disabled Widow(er) | Official Link
- 2119 – Disabled Widow(er) Age 60-64 (Public Law 100-203) | Official Link
- 2121 – Widow(er) 1984 (Public Law 92-272) | Official Link
- 2123 – Protected Medicaid 1972 (Public Law 92-603) | Official Link
- 2131 – Elderly Disabled Waiver Program (formerly known as the Community Care Services Program) (Note: see CCSP Manual) | Official Link
- 2132 – New Options Waiver (NOW) and Comprehensive Supports Waiver Program (COMP) | Official Link
- 2133 – TEFRA/Katie Beckett | Official Link
- 2135 – Hospice Care | Official Link
- 2136 – Institutionalized Hospice | Official Link
- 2137 – Hospital | Official Link
- 2139 – Independent Care Waiver Program | Official Link
- 2141 – Nursing Home | Official Link
- 2143 – Qualified Medicare Beneficiaries | Official Link
- 2144 – Specified Low-Income Medicare Beneficiaries | Official Link
- 2145 – Qualifying Individuals – 1 | Official Link
- 2146 – Low Income Subsidy (Extra Help for Medicare Part D) | Official Link
- 2147 – Qualified Disabled Working Individuals | Official Link
- 2149 – Georgia Medicaid for Workers with Disabilities | Official Link
- 2150 – ABD Medically Needy | Official Link
- 2160 – Family Medicaid Overview | Official Link
- 2162 – Parent/Caretaker with Children | Official Link
- 2166 – Transitional Medical Assistance | Official Link
- 2170 – Four Months Extended Medicaid Because of Child Support | Official Link
- 2172 – LIM Individuals in a Nursing Home (REMOVED by MT47)
- 2174 – Newborn Medicaid | Official Link
- 2180 – Right From the Start (RSM) Medicaid Overview (REMOVED)
- 2182 – Children Under 19 Years of Age | Official Link
- 2184 – RSM Pregnant Women | Official Link
- 2186 – Planning for Healthy Babies | Official Link
- 2194 – Peachcare for Kids | Official Link
- 2195 – Pathways | Official Link
- 2196 – Family Medicaid Medically Needy | Official Link
- 2198 – Women’s Health Medicaid | Official Link
Chapter 2200 – BASIC ELIGIBILITY CRITERIA
- 2201 – Overview | Official Link
- 2205 – Aged, Blind, Disabled Requirement | Official Link
- 2210 – Application for Other Benefits | Official Link
- 2215 – Citizenship/Immigration/Identity | Official Link
- 2220 – Enumeration | Official Link
- 2225 – Residency | Official Link
- 2230 – Third Party Resources | Official Link
- 2235 – Length of Stay | Official Link
- 2240 – Level of Care | Official Link
- 2245 – Living with a Specified Relative | Official Link
- 2250 – Child Support Services | Official Link
- 2255 – Age (Family Medicaid) | Official Link
- 2256 – Pathways Qualifying Activities Report | Official Link
- 2300 – ABD Medicaid Resources Overview | Official Link
- 2301 – Family Medicaid Resources Overview | Official Link
- 2302 – Ownership of Resources in ABD Medicaid | Official Link
- 2303 – Determining the Countable Value of Resources for ABD | Official Link
- 2304 – Treatment of Resources for ABD | Official Link
- 2305 – Co-Mingled Funds | Official Link
- 2306 – Agent Orange | Official Link
- 2307 – Austrian Social Insurance Payments | Official Link
- 2308 – Vehicles | Official Link
- 2309 – Bonds – Municipal, Corporate, Government | Official Link
- 2310 – Bonds – U.S. Savings | Official Link
- 2311 – Burial Contracts (Pre-Paid or Pre-Need) and Burial Space Items | Official Link
- 2312 – Burial Funds | Official Link
- 2313 – Contracts – Promissory Notes, Loans and Property Agreements | Official Link
- 2314 – Disaster Assistance | Official Link
- 2315 – Dividends, Accrued | Official Link
- 2316 – Homeplace: ABD Medicaid | Official Link
- 2317 – Homeplace: Family Medicaid | Official Link
- 2318 – Home Replacement Funds | Official Link
- 2319 – Household Goods and Personal Effects | Official Link
- 2320 – Inheritances and Unprobated Estates | Official Link
- 2321 – Japanese American and Aleutian Restitution Payments | Official Link
- 2322 – Life Estate and Remainder Interests | Official Link
- 2323 – Life Insurance Policies | Official Link
- 2324 – Lump Sums | Official Link
- 2325 – Patient Fund Account (NH) | Official Link
- 2326 – Prepayments and Deposits (NH) | Official Link
- 2327 – Property Essential to Self-Support | Official Link
- 2328 – Property Rights | Official Link
- 2329 – Real Property, Non-Homeplace | Official Link
- 2330 – Relocation Assistance | Official Link
- 2331 – Replacement Funds | Official Link
- 2332 – Retirement Funds | Official Link
- 2333 – Safe Deposit Box | Official Link
- 2334 – Savings and Checking Accounts | Official Link
- 2335 – Stocks and Mutual Fund Shares | Official Link
- 2336 – Trust Property – Medicaid Qualifying | Official Link
- 2337 – Trust Property – OBRA ’93 | Official Link
- 2338 – Trust Property | Official Link
- 2339 – Annuities | Official Link
- 2340 – Uniform Gifts to Minors | Official Link
- 2341 – Victim’s Compensation | Official Link
- 2342 – Transfer of Assets for ABD Medicaid | Official Link
- 2343 – German Reparation Payments | Official Link
- 2344 – Qualified Tuition Savings Programs (529 Plans) | Official Link
- 2345 – Undue Hardship | Official Link
- 2346 – Special Needs Trust | Official Link
- 2347 – Loans | Official Link
- 2348 – Long-Term Care Partnership Policies | Official Link
- 2349 – Personal Care Contracts | Official Link
- 2398 – Estate Recovery for ABD Medicaid | Official Link
- 2399 – Treatment of Resources by Resource Type Chart | Official Link
- 2401 – Medicaid Income Overview | Official Link
- 2403 – Ownership of Income | Official Link
- 2405 – Treatment of Income | Official Link
- 2407 – Qualified Income Trust | Official Link
- 2410 – Rental Income | Official Link
- 2415 – Self-Employment | Official Link
- 2418 – VA INCOME | Official Link
- 2420 – Military Pay | Official Link
- 2430 – Living Arrangement and In-Kind Support and Maintenance for ABD Medicaid | Official Link
- 2499 – Treatment of Income in Medicaid Chart | Official Link
Chapter 2500 – ABD FINANCIAL RESPONSIBILITY AND BUDGETING
- 2500 – ABD Financial Responsibility and Budgeting Overview | Official Link
- 2501 – Marital Relationship | Official Link
- 2502 – Deeming | Official Link
- 2503 – Couples | Official Link
- 2504 – Determining Countable Income | Official Link
- 2505 – Income Deductions | Official Link
- 2506 – Medicaid Individual Budgeting | Official Link
- 2507 – Spouse to Spouse Deeming | Official Link
- 2508 – Parent to Child Deeming | Official Link
- 2509 – Couple Budgeting | Official Link
- 2510 – Medicaid Cap Budgeting | Official Link
2550 – PATIENT LIABILITY/COST SHARE
- 2551 – Patient Liability/Cost Share Overview | Official Link
- 2552 – Patient Liability/Cost Share Deductions | Official Link
- 2553 – Protection of Income | Official Link
- 2554 – Diversion of Income | Official Link
- 2555 – Incurred Medical Expenses | Official Link
- 2557 – Averaging Income and Incurred Medical Expenses | Official Link
- 2558 – Significant Change in Income or IME | Official Link
- 2559 – Patient Liability/Cost Share Budgeting | Official Link
2575 – NURSING HOME VENDOR PAYMENT
- 2576 – Vendor Payment Authorization | Official Link
- 2577 – Limited Stays | Official Link
- 2578 – SSI Recipients | Official Link
- 2579 – SSI 1619 Individuals | Official Link
- 2580 – SSI Recipients Temporarily in a Nursing Home | Official Link
- 2581 – Swing Beds | Official Link
- 2582 – Temporary Absence from Nursing Home | Official Link
Chapter 2600 – FAMILY MEDICAID ASSISTANCE UNITS AND BUDGET GROUPS
- 2610 – MAGI Budget Groups/Assistance Units | Official Link
- 2620 – Family Medicaid Assistance Units (other than LIM) | Official Link
- 2640 – Paternity | Official Link
2650 – FAMILY MEDICAID BUDGETING
- 2650 – Family Medicaid Budgeting Overview | Official Link
- 2653 – Prospective Budgeting (Family Medicaid) | Official Link
- 2655 – Family Medicaid Deductions | Official Link
- 2657 – Penalized Individuals | Official Link
- 2659 – Contract Employees | Official Link
- 2661 – Responsibility Budgeting | Official Link
- 2663 – Non MAGI Budgeting | Official Link
- 2665 – LIM AU Member in a Nursing Home (REMOVED by MT47)
- 2667 – TMA Budgeting | Official Link
- 2669 – MAGI Budgeting | Official Link
- 2671 – Family Medicaid Medically Needy Budgeting | Official Link
Chapter 2700 – CASE MANAGEMENT
- 2700 – Case Management Overview | Official Link
- 2701 – Notification | Official Link
- 2706 – Medicaid Renewals | Official Link
- 2708 – ABD Medicaid Changes | Official Link
- 2712 – Family Medicaid Changes Overview | Official Link
- 2713 – Family Medicaid Changes in Residence | Official Link
- 2714 – Family Medicaid Changes in AU Composition | Official Link
- 2715 – Family Medicaid Changes in Income | Official Link
- 2716 – Family Medicaid Miscellaneous Changes | Official Link
- 2718 – PeachCare for Kids Rebounds (REMOVED)
- 2720 – Continuous Coverage for Pregnant Women | Official Link
- 2750 – DCH Reports – Ex Parte Lists | Official Link
- 2751 – SSA Medicare Savings Programs Applications | Official Link
- 2752 – DCH Reports – Presumptive Lists | Official Link
- 2756 – Medicare Buy-in | Official Link
- 2760 – Case Record Organization | Official Link
Chapter 2800 – ASSISTANCE TO CHILDREN IN PLACEMENT
- 2801 – Assistance to Children in Placement Overview | Official Link
- 2805 – Funding Sources | Official Link
- 2810 – Foster Care Medicaid Application Processing | Official Link
- 2812 – Department of Juvenile Justice Medicaid Application Processing | Official Link
- 2815 – IV-E Foster Care Medicaid | Official Link
- 2817 – IV-E Adoption Assistance Medicaid | Official Link
- 2818 – Chafee Independence Medicaid | Official Link
- 2819 – Former Foster Care | Official Link
- 2820 – Legal Status | Official Link
- 2825 – AFDC Relatedness | Official Link
- 2826 – AFDC Deprivation – Unemployed Parent | Official Link
- 2830 – AFDC Deductions | Official Link
- 2835 – AFDC Relatedness Budgeting | Official Link
- 2840 – IV-E Budgeting | Official Link
- 2845 – SSI Eligible Child | Official Link
- 2848 – Relative Care Placement | Official Link
- 2850 – Special Considerations | Official Link
- 2851 – Child Support Referrals (IV-E) | Official Link
- 2852 – Medicaid Application Processing for Out-of-State Children Placed in Georgia | Official Link
- 2853 – Foster Care CMO Procedures | Official Link
- 2860 – IV-E Reimbursability | Official Link
- 2870 – Redeterminations for Children in Placement | Official Link
- 2880 – Ineligibility for IV-E | Official Link
- 2883 – Standard Filing Unit | Official Link
- 2885 – Transition from Foster Care to Adoption Assistance | Official Link
- 2890 – Child Welfare Foster Care Medicaid | Official Link
- 2895 – State Adoption Assistance Medicaid (REMOVED)
- 2900 – Referrals Overview | Official Link
- 2901 – Aging, Division of | Official Link
- 2903 – Brain and Spinal Injury Trust Fund | Official Link
- 2905 – Cancer State Aid Program | Official Link
- 2906 – CBAY – Community Based Alternatives for Youth Program (REMOVED)
- 2907 – Champions for Children | Official Link
- 2908 – Children’s Medical Services | Official Link
- 2910 – Child Support Services | Official Link
- 2920 – Domestic Violence (Family Violence Manual) | Official Link
- 2925 – Food Stamps (Food Stamp Manual) | Official Link
- 2926 – GeorgiaCares | Official Link
- 2927 – Georgia Partnership for Caring Foundation (Removed in TM 40)
- 2928 – Georgia Hearing Aid Distribution Program | Official Link
- 2929 – Georgia Medicaid for Workers with Disabilities (REMOVED)
- 2930 – Health Check/EPSDT Services | Official Link
- 2931 – Medicare Part D and Low Income Subsidy | Official Link
- 2932 – Georgia Medicaid Management Program (GAMMP) (REMOVED by MT47)
- 2933 – Georgia Pediatric Program | Official Link
- 2935 – Non Emergency Transportation | Official Link
- 2936 – Exceptional Transportation Services | Official Link
- 2937 – Ombudsman (Ombudsman Manual) | Official Link
- 2938 – Georgia Family Healthline | Official Link
- 2939 – Money Follows the Person | Official Link
- 2940 – Prescription Prior Approval | Official Link
- 2942 – Public Health | Official Link
- 2945 – Refugee Assistance Program | Official Link
- 2947 – Regulatory Services, Office of | Official Link
- 2950 – Rehabilitation Services (DOL) | Official Link
- 2955 – Service Options Using Resources in a Community Setting (SOURCE) | Official Link
- 2960 – Temporary Assistance for Needy Families (TANF) | Official Link
- 2980 – Voter Registration | Official Link
- 2985 – Women, Infants and Children (WIC) | Official Link
Appendix A1 – ABD Financial Limits
- 2024 ABD Financial Limits
- 2023 Updated ABD Financial Limits
- 2023 ABD Financial Limits
- 2022 ABD Financial Limits
- 2021 ABD Financial Limits
- 2020 ABD Financial Limits
- 2019 ABD Financial Limits
- 2018 ABD Financial Limits
- 2017 ABD Financial Limits
- 2016 ABD Financial Limits
- 2015 ABD Financial Limits
- 2014 ABD Financial Limits
- 2013 ABD Financial Limits
- 2012 ABD Financial Limits
- 2011 ABD Financial Limits
- 2010 ABD Financial Limits
- 2009 ABD Financial Limits
- 2008 ABD Financial Limits
- 2007 ABD Financial Limits
- 2006 ABD Financial Limits
- 2005 ABD Financial Limits
- 2004 ABD Financial Limits
- 2003 ABD Financial Limits
- 2002 ABD Financial Limits
- 2001 ABD Financial Limits
Appendix A2 – Family Medicaid Financial Limits
- 2024 Family Medicaid Financial Limits
- 2023 Family Medicaid Financial Limits
- 2022 Family Medicaid Financial Limits
- 2021 Family Medicaid Financial Limits
- 2020 Family Medicaid Financial Limits
- 2019 Family Medicaid Financial Limits
- 2018 Family Medicaid Financial Limits
- 2017 Family Medicaid Financial Limits
- 2016 Family Medicaid Financial Limits
- 2015 Family Medicaid Financial Limits
- 2014 Family Medicaid Financial Limits
- 2013 Family Medicaid Financial Limits
- 2012 Family Medicaid Financial Limits
- 2011 Family Medicaid Financial Limits
- 2010 Family Medicaid Financial Limits
- 2009 Family Medicaid Financial Limits
- 2008 Family Medicaid Financial Limits
- 2007 Family Medicaid Financial Limits
- 2006 Family Medicaid Financial Limits
- 2005 Family Medicaid Financial Limits
- 2004-July Family Medicaid Financial Limits
- 2004 Family Medicaid Financial Limits
- 2003 Family Medicaid Financial Limits
- 2002 Family Medicaid Financial Limits
- 2001 Family Medicaid Financial Limits
Appendix B – Hearings
Appendix C – Medicaid Issuance
Appendix D – Documentation Standards (REMOVED)
Appendix E – Glossary
Appendix F – Forms Table of Contents | Forms Table of Contents and Forms as of 8-16-2024
Appendix G – Cover Letter Table of Contents
- Manual Transmittal 73
- Manual Transmittal 72
- Manual Transmittal 71
- Manual Transmittal 70
- Manual Transmittal 69
- Manual Transmittal 66
- Manual Transmittal 65
- Manual Transmittal 64
- Manual Transmittal 53
- Manual Transmittal 52
- Manual Transmittal 51
- Manual Transmittal 50
- Manual Transmittal 49
- Manual Transmittal 48
- Manual Transmittal 47
- Manual Transmittal 46
- Manual Transmittal 45
- Manual Transmittal 44
- Manual Transmittal 43
- Manual Transmittal 42
- Manual Transmittal 41
- Manual Transmittal 40
- Manual Transmittal 39
- Manual Transmittal 38
- Manual Transmittal 37
- Manual Transmittal 36
- Manual Transmittal 35
- Manual Transmittal 34
- Manual Transmittal 33
- Manual Transmittal 32
- Manual Transmittal 31
- Manual Transmittal 30
- Manual Transmittal 29
- Manual Transmittal 28
- Manual Transmittal 27
- Manual Transmittal 26
- Manual Transmittal 25
- Manual Transmittal 24
- Manual Transmittal 23
- Manual Transmittal 22
- Manual Transmittal 21
- Manual Transmittal 20
- Manual Transmittal 19
- Manual Transmittal 18
- Manual Transmittal 17
- Manual Transmittal 16
- Manual Transmittal 15
- Manual Transmittal 14
- Manual Transmittal 13
- Manual Transmittal 12
- Manual Transmittal 11
- Manual Transmittal 10
- Manual Transmittal 9
- Manual Transmittal 8
- Manual Transmittal 7
- Manual Transmittal 6
- Manual Transmittal 5
- Manual Transmittal 4
- Manual Transmittal 3
- Manual Transmittal 2
- Manual Transmittal 1
Appendix H – Administrative Reviews
Appendix I – ABD Medicaid SUCCESS Functions
Appendix J – Family Medicaid SUCCESS Functions
Appendix K – Children in Placement SUCCESS Functions
Appendix L – Long Term Care Project
Appendix M – Georgia Databroker System (Removed in TM 39)
This section of our website is updated irregularly and, due to the volume of material we are covering, cannot be guaranteed to be current. Links to the official version of the Georgia ABD Manual are above. If you are aware of a manual section that should be updated, please call it to our attention. Comments should be sent to david@ezelderlaw.com.
Archive Files
- Transmittal 49 (Zip)
- Transmittal 48 (Zip)
- Transmittal 47 (Zip)
- Transmittal 46 (Zip)
- Transmittal 45 (Zip)
- Transmittal 44 (Zip)
- Transmittal 43 (Zip)
- Transmittal 42 (Zip)
- Transmittal 41 (Zip)
- Transmittal 40 (Zip)
- Transmittal 39 (Zip)
- Transmittal 38 (Zip)
- Transmittal 37 (Zip)
- Transmittal 36 (Zip)
- Transmittal 35 (Zip)
- Transmittal 34 (Zip)
- Transmittal 33 (Zip)
- Transmittal 32 (Zip)
- Transmittal 31 (Zip)
- February 2008 Manual Sections (Zip) | Changes from November 2007 (Self Extracting Zip)
- February 2008 Forms (Zip)
- November 2007 (Zip – Entire Manual)
- February 2007 (Zip)
- April 2006 (Zip)
- July 2005 (Zip)
- April 2005 (Zip)
- September 2004 (Zip)
- June 2004 (Zip)
- May 2004 (Zip)
- Undated downloads prior to May 2004 (Zip)
- December 2002 (PDF – LARGE file)
