The Official Medicaid Manual awes located at http://odis.dhs.ga.gov/ChooseCategory.aspx?cid=813. It was recently 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. 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.
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 72 (Last changed on 7-10-2024; last checked 9/10/2024)
With the release of Cover Letter 72, effective, August 16, 2024, the entire manual appears as a single PDF document you can access 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
- 2001 – Computer Matches Overview
- 2002 – Income and Eligibility Verification System
- 2003 – Internal Revenue Service (IRS) and Beneficiary Earnings Exchange Records System (BEERS) Information System
- 2004 – Clearinghouse
- 2005 – SSN Validation
- 2010 – Confidentiality
- 2011 – Health Information Portability and Accountability Act of 1996
- 2015 – Mandated Reporting
- 2020 – Americans with Disabilities Act
- 2025 – Title VI/Section 504 Civil Rights
- 2030 – Georgia Health Partnership Overview (Removed)
- 2050 – Application Processing Overview
- 2051 – Verification
- 2052 – Continuing Medicaid Determination
- 2053 – Retroactive Medicaid
- 2054 – Emergency Medicaid Assistance
- 2055 – Sponsored Aliens
- 2060 – ABD Medicaid Application Processing
- 2065 – Family Medicaid Application Processing
- 2066 – Placement Outside of the Home (Family Medicaid)
- 2067 – Presumptive Medicaid (Family Medicaid)
- 2068 – Special Considerations
Chapter 2100 – CLASSES OF ASSISTANCE
- 2101 – ABD Medicaid Classes of Assistance Overview
- 2111 – Supplemental Security Income (SSI) Medicaid
- 2113 – Pickle (Public Law 94-566)
- 2115 – Disabled Adult Child (Public Law 99-643)
- 2116 – Former SSI-Disabled Child
- 2117 – Disabled Widow(er)
- 2119 – Disabled Widow(er) Age 60-64 (Public Law 100-203)
- 2121 – Widow(er) 1984 (Public Law 92-272)
- 2123 – Protected Medicaid 1972 (Public Law 92-603)
- 2131 – Elderly Disabled Waiver Program (formerly known as the Community Care Services Program) (Note: see CCSP Manual)
- 2132 – New Options Waiver (NOW) and Comprehensive Supports Waiver Program (COMP)
- 2133 – TEFRA/Katie Beckett
- 2135 – Hospice Care
- 2136 – Institutionalized Hospice
- 2137 – Hospital
- 2139 – Independent Care Waiver Program
- 2141 – Nursing Home
- 2143 – Qualified Medicare Beneficiaries
- 2144 – Specified Low-Income Medicare Beneficiaries
- 2145 – Qualifying Individuals – 1
- 2146 – Low Income Subsidy (Extra Help for Medicare Part D)
- 2147 – Qualified Disabled Working Individuals
- 2149 – Georgia Medicaid for Workers with Disabilities
- 2150 – ABD Medically Needy
- 2160 – Family Medicaid Overview
- 2162 – Parent/Caretaker with Children
- 2166 – Transitional Medical Assistance
- 2170 – Four Months Extended Medicaid Because of Child Support
- 2172 – LIM Individuals in a Nursing Home (REMOVED by MT47)
- 2174 – Newborn Medicaid
- 2180 – Right From the Start (RSM) Medicaid Overview (REMOVED)
- 2182 – Children Under 19 Years of Age
- 2184 – RSM Pregnant Women
- 2186 – Planning for Healthy Babies
- 2194 – Peachcare for Kids
- 2195 – Pathways
- 2196 – Family Medicaid Medically Needy
- 2198 – Women’s Health Medicaid
Chapter 2200 – BASIC ELIGIBILITY CRITERIA
- 2201 – Overview
- 2205 – Aged, Blind, Disabled Requirement
- 2210 – Application for Other Benefits
- 2215 – Citizenship/Immigration/Identity
- 2220 – Enumeration
- 2225 – Residency
- 2230 – Third Party Resources
- 2235 – Length of Stay
- 2240 – Level of Care
- 2245 – Living with a Specified Relative
- 2250 – Child Support Services
- 2255 – Age (Family Medicaid)
- 2256 – Pathways Qualifying Activities Report
- 2300 – ABD Medicaid Resources Overview
- 2301 – Family Medicaid Resources Overview
- 2302 – Ownership of Resources in ABD Medicaid
- 2303 – Determining the Countable Value of Resources for ABD
- 2304 – Treatment of Resources for ABD
- 2305 – Co-Mingled Funds
- 2306 – Agent Orange
- 2307 – Austrian Social Insurance Payments
- 2308 – Vehicles
- 2309 – Bonds – Municipal, Corporate, Government
- 2310 – Bonds – U.S. Savings
- 2311 – Burial Contracts (Pre-Paid or Pre-Need) and Burial Space Items
- 2312 – Burial Funds
- 2313 – Contracts – Promissory Notes, Loans and Property Agreements
- 2314 – Disaster Assistance
- 2315 – Dividends, Accrued
- 2316 – Homeplace: ABD Medicaid
- 2317 – Homeplace: Family Medicaid
- 2318 – Home Replacement Funds
- 2319 – Household Goods and Personal Effects
- 2320 – Inheritances and Unprobated Estates
- 2321 – Japanese American and Aleutian Restitution Payments
- 2322 – Life Estate and Remainder Interests
- 2323 – Life Insurance Policies
- 2324 – Lump Sums
- 2325 – Patient Fund Account (NH)
- 2326 – Prepayments and Deposits (NH)
- 2327 – Property Essential to Self-Support
- 2328 – Property Rights
- 2329 – Real Property, Non-Homeplace
- 2330 – Relocation Assistance
- 2331 – Replacement Funds
- 2332 – Retirement Funds
- 2333 – Safe Deposit Box
- 2334 – Savings and Checking Accounts
- 2335 – Stocks and Mutual Fund Shares
- 2336 – Trust Property – Medicaid Qualifying
- 2337 – Trust Property – OBRA ’93
- 2338 – Trust Property
- 2339 – Annuities
- 2340 – Uniform Gifts to Minors
- 2341 – Victim’s Compensation
- 2342 – Transfer of Assets for ABD Medicaid
- 2343 – German Reparation Payments
- 2344 – Qualified Tuition Savings Programs (529 Plans)
- 2345 – Undue Hardship
- 2346 – Special Needs Trust
- 2347 – Loans
- 2348 – Long-Term Care Partnership Policies
- 2349 – Personal Care Contracts
- 2398 – Estate Recovery for ABD Medicaid
- 2399 – Treatment of Resources by Resource Type Chart
- 2401 – Medicaid Income Overview
- 2403 – Ownership of Income
- 2405 – Treatment of Income
- 2407 – Qualified Income Trust
- 2410 – Rental Income
- 2415 – Self-Employment
- 2418 – VA INCOME
- 2420 – Military Pay
- 2430 – Living Arrangement and In-Kind Support and Maintenance for ABD Medicaid
- 2499 – Treatment of Income in Medicaid Chart
Chapter 2500 – ABD FINANCIAL RESPONSIBILITY AND BUDGETING
- 2500 – ABD Financial Responsibility and Budgeting Overview
- 2501 – Marital Relationship
- 2502 – Deeming
- 2503 – Couples
- 2504 – Determining Countable Income
- 2505 – Income Deductions
- 2506 – Medicaid Individual Budgeting
- 2507 – Spouse to Spouse Deeming
- 2508 – Parent to Child Deeming
- 2509 – Couple Budgeting
- 2510 – Medicaid Cap Budgeting
2550 – PATIENT LIABILITY/COST SHARE
- 2551 – Patient Liability/Cost Share Overview
- 2552 – Patient Liability/Cost Share Deductions
- 2553 – Protection of Income
- 2554 – Diversion of Income
- 2555 – Incurred Medical Expenses
- 2557 – Averaging Income and Incurred Medical Expenses
- 2558 – Significant Change in Income or IME
- 2559 – Patient Liability/Cost Share Budgeting
2575 – NURSING HOME VENDOR PAYMENT
- 2576 – Vendor Payment Authorization
- 2577 – Limited Stays
- 2578 – SSI Recipients
- 2579 – SSI 1619 Individuals
- 2580 – SSI Recipients Temporarily in a Nursing Home
- 2581 – Swing Beds
- 2582 – Temporary Absence from Nursing Home
Chapter 2600 – FAMILY MEDICAID ASSISTANCE UNITS AND BUDGET GROUPS
- 2610 – MAGI Budget Groups/Assistance Units
- 2620 – Family Medicaid Assistance Units (other than LIM)
- 2640 – Paternity
2650 – FAMILY MEDICAID BUDGETING
- 2650 – Family Medicaid Budgeting Overview
- 2653 – Prospective Budgeting (Family Medicaid)
- 2655 – Family Medicaid Deductions
- 2657 – Penalized Individuals
- 2659 – Contract Employees
- 2661 – Responsibility Budgeting
- 2663 – Non MAGI Budgeting
- 2665 – LIM AU Member in a Nursing Home (REMOVED by MT47)
- 2667 – TMA Budgeting
- 2669 – MAGI Budgeting
- 2671 – Family Medicaid Medically Needy Budgeting
Chapter 2700 – CASE MANAGEMENT
- 2700 – Case Management Overview
- 2701 – Notification
- 2706 – Medicaid Renewals
- 2708 – ABD Medicaid Changes
- 2712 – Family Medicaid Changes Overview
- 2713 – Family Medicaid Changes in Residence
- 2714 – Family Medicaid Changes in AU Composition
- 2715 – Family Medicaid Changes in Income
- 2716 – Family Medicaid Miscellaneous Changes
- 2718 – PeachCare for Kids Rebounds
- 2720 – Continuous Coverage for Pregnant Women
- 2750 – DCH Reports – Ex Parte Lists
- 2751 – SSA Medicare Savings Programs Applications
- 2752 – DCH Reports – Presumptive Lists
- 2756 – Medicare Buy-in
- 2760 – Case Record Organization
Chapter 2800 – ASSISTANCE TO CHILDREN IN PLACEMENT
- 2801 – Assistance to Children in Placement Overview
- 2805 – Funding Sources
- 2810 – Foster Care Medicaid Application Processing
- 2812 – Department of Juvenile Justice Medicaid Application Processing
- 2815 – IV-E Foster Care Medicaid
- 2817 – IV-E Adoption Assistance Medicaid
- 2818 – Chafee Independence Medicaid
- 2819 – Former Foster Care
- 2820 – Legal Status
- 2825 – AFDC Relatedness
- 2826 – AFDC Deprivation – Unemployed Parent
- 2830 – AFDC Deductions
- 2835 – AFDC Relatedness Budgeting
- 2840 – IV-E Budgeting
- 2845 – SSI Eligible Child
- 2848 – Relative Care Placement
- 2850 – Special Considerations
- 2851 – Child Support Referrals (IV-E)
- 2852 – Medicaid Application Processing for Out-of-State Children Placed in Georgia
- 2853 – Foster Care CMO Procedures
- 2860 – IV-E Reimbursability
- 2870 – Redeterminations for Children in Placement
- 2880 – Ineligibility for IV-E
- 2883 – Standard Filing Unit
- 2885 – Transition from Foster Care to Adoption Assistance
- 2890 – Child Welfare Foster Care Medicaid
- 2895 – State Adoption Assistance Medicaid (REMOVED)
- 2900 – Referrals Overview
- 2901 – Aging, Division of
- 2903 – Brain and Spinal Injury Trust Fund
- 2905 – Cancer State Aid Program
- 2906 – CBAY – Community Based Alternatives for Youth Program (REMOVED)
- 2907 – Champions for Children
- 2908 – Children’s Medical Services
- 2910 – Child Support Services
- 2920 – Domestic Violence (Family Violence Manual)
- 2925 – Food Stamps (Food Stamp Manual)
- 2926 – GeorgiaCares
- 2927 – Georgia Partnership for Caring Foundation (Removed in TM 40)
- 2928 – Georgia Hearing Aid Distribution Program
- 2929 – Georgia Medicaid for Workers with Disabilities (REMOVED)
- 2930 – Health Check
- 2931 – Medicare Part D and Low Income Subsidy
- 2932 – Georgia Medicaid Management Program (GAMMP) (REMOVED by MT47)
- 2933 – Georgia Pediatric Program
- 2935 – Non Emergency Transportation
- 2936 – Exceptional Transportation Services
- 2937 – Ombudsman (Ombudsman Manual)
- 2938 – Georgia Family Healthline
- 2939 – Money Follows the Person
- 2940 – Prescription Prior Approval
- 2942 – Public Health
- 2945 – Refugee Assistance Program
- 2947 – Regulatory Services, Office of
- 2950 – Rehabilitation Services (DOL)
- 2955 – Service Options Using Resources in a Community Setting (SOURCE)
- 2960 – Temporary Assistance for Needy Families (TANF)
- 2980 – Voter Registration
- 2985 – Women, Infants and Children (WIC)
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 and Forms as of 8-16-2024
Appendix G – Cover Letter Table of Contents
- 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)
