Georgia State Medicaid Plan


The State of Georgia’s version of the State Medicaid Plan is online at the Department of Community Health Website. Researchers should contact the Department for recent changes or check for amendments at Medicaid.gov. 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.

Downloaded April 2021
Georgia Medicaid State Plan Numbered Pages
Organization of the Single State Agency Attachment 1
Member Coverage Attachment 2
Amount, Duration and Scope of Services Attachment 3
Case Management Attachment 3.1-A Supplement 1
Provider Reimbursement Attachment 4 (Attachments 5 and 7 included)
GA Citation Listing Attachment 5 (see above Attachment 4)
Nondiscrimination Attachment 7 (see above Attachment 4)

Covid 19 Amendments

Every State that participates in the Medicaid program must have a State Plan. Among other requirements, “[a] State plan for medical assistance must— provide that it shall be in effect in all political subdivisions of the State, and, if administered by them, be mandatory upon them.” 42 U.S. Code § 1396a(a)(1). In Harris v. McRae, 448 U.S. 297 (1980), at 308-309, the Supreme Court discussed Medicaid State Plans in the context of an abortion case. There, it held:

The Medicaid program created by Title XIX is a cooperative endeavor in which the Federal Government provides financial assistance to participating States to aid them in furnishing health care to needy persons. Under this system of “cooperative federalism,” King v. Smith, 392 U. S. 309, 392 U. S. 316, if a State agrees to establish a Medicaid plan that satisfies the requirements of Title XIX, which include several mandatory categories of health services, the Federal Government agrees to pay a specified percentage of “the total amount expended . . . as medical assistance under the State plan. . . .” 42 U.S.C. § 1396b(a)(1). The cornerstone of Medicaid is financial contribution by both the Federal Government and the participating State. Nothing in Title XIX as originally enacted, or in its legislative history, suggests that Congress intended to require a participating State to assume the full costs of providing any health services in its Medicaid plan. Quite the contrary, the purpose of Congress in enacting Title XIX was to provide federal financial assistance for all legitimate state expenditures under an approved Medicaid plan. See S.Rep. No. 404, 89th Cong., 1st Sess., pt. 1, pp. 885 (1965); H.R. Rep. No. 213, 89th Cong., 1st Sess., 72-74 (1965).

Since the Congress that enacted Title XIX did not intend a participating State to assume a unilateral funding obligation for any health service in an approved Medicaid plan, it follows that Title XIX does not require a participating State to include in its plan any services for which a subsequent Congress has withheld federal funding.

Title XIX was designed as a cooperative program of shared financial responsibility, not as a device for the Federal Government to compel a State to provide services that Congress itself is unwilling to fund. Thus, if Congress chooses to withdraw federal funding for a particular service, a State is not obliged to continue to pay for that service as a condition of continued federal financial support of other services. This is not to say that Congress may not now depart from the original design of Title XIX under which the Federal Government shares the financial responsibility for expenses incurred under an approved Medicaid plan. It is only to say that, absent an indication of contrary legislative intent by a subsequent Congress, Title XIX does not obligate a participating State to pay for those medical services for which federal reimbursement is unavailable.

State Plan – Single Document (Downloaded February 3, 2008)

CURRENT AS OF DECEMBER 3 2007 FROM STATE WEBSITE

State Plan Under Title XIX of the Social Security Act, Medical Assistance Program (Note: Sections 1 through 7 of this Table of Contents appear in this consolidated PDF document. Attachments and Supplements are linked below)

Section 1: Single State Agency Organization
Section 2: Coverage and Eligibility
Section 3: Services: General Provisions
Section 4: General Program Administration
Section 5: Personnel Administration
Section 6: Financial Administration
Section 7: General Provisions
List of Attachments

Section 1 – Single State Agency Organization

Section 2 – Coverage and Eligibility

Section 3 – Services: General Provisions

Section 4 – General Program Administration

Section 5 – Personnel Administration

Section 6 – Financial Administration

Section 7 – General Provisions

List of Attachments

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