Georgia - Calendar Year 2006
Eligibility for major coverage groups within Medicaid

The following guidelines provide general income criteria that are used in part to determine a person’s eligibility for Medicaid programs and services. To become eligible, please visit your local county Department of Family and Children Services office.

SSI Recipients - 100 % FBR

Aged, blind or disabled individuals who receive Supplemental Security Income (SSI)

Income Limits
Resource Limits
  • Individual - $603 per month ($7,236 per year)
  • Couple - $904 per month ($10,836 per year)
  • Individual - $2,000
  • Couple - $3,000

Nursing Homes - 300 % FBR

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

Income Limits
Resource Limits
  • Individual - $2,000
  • Couple - $3,000
  • $1,809 per month ($21,708 per year)

Community Care - 300 % FBR

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
Resource Limits
  • Individual - $2,000
  • Couple - $3,000
  • $1,809 per month ($21,708 per year)

Qualified Medicare Beneficiaries (QMB) - 100 % FPL

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
Resource Limits
  • Individual - $837 per month ($10,044 per year)
  • Couple - $1,120 per month ($13,440 per year)
  • Individual - $4,000
  • Couple - $6,000

Hospice - 300 % FBR

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
Resource Limits
  • Individual - $2,000
  • Couple - $3,000
  • $1,809 per month ($21,708 per year)

Low-Income Medicaid (LIM) - Set by Statute, Fixed

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)

Right from the Start Medicaid for Pregnant Women (RSM Adults) - 200 % FPL

Pregnant women with family income at or below 235 percent of the federal poverty level.

Family Size
Income Limits
1 $1,634 per month ($19,608 per year)
2 $2,200 per month ($26,400 per year)
3 $2,767 per month ($33,204 per year)
4 $3,334 per month ($40,008 per year)

Each additional person: $566 per month ($6,792 per year)

Right from the Start Medicaid (RSM Children) - 185 % FPL

Children under 1 whose family income is at or below 185 percent of the federal poverty level

Family Size
Income Limits
1 $1,511 per month ($18,132 per year)
2 $2,035 per month ($24,420 per year)
3 $2,560 per month ($30,720 per year)
4 $3,084 per month ($37,008 per year)

Each additional family member: $524 per month ($6,288 per year)

Right from the Start Medicaid (RSM Children) - 133 % FPL

Children between 1 and 6 whose family income is at or below 133 percent of the federal poverty level.

Family Size
Income Limits
1 $1,087 per month ($13,044 per year)
2 $1,463 per month ($17,556 per year)
3 $1,840 per month ($22,080 per year)
4 $2,217 per month ($26,604 per year)

Each additional family member: $376 per month ($4,512 per year)

Right from the Start Medicaid (RSM Children) - 100 % FPL

Children between 6 and 19 whose family income is at or below 100 percent of the federal poverty level.

Family Size
Income Limits
1 $817 per month ($9,804 per year)
2 $1,100 per month ($13,200 per year)
3 $1,383 per month ($16,596 per year)
4 $1,667 per month ($20,004 per year)

Each additional family member: $283 per month ($3,396 per year)

Medically Needy - Set by Statute, Fixed

Pregnant women, children, aged, blind, and disabled individuals whose family income exceeds the established income limit may be eligible under the Medically Needy program. The Medically Needy program allows a person to use incurred/unpaid medical bills to "spend down" the difference between their income and the income limit to become eligible.


Pregnant Women and Children

Income Limits Resource Limits
Family Size
1 $208 per month ($2,496 per year)
2 $317 per month ($3,804 per year)
3 $375 per month ($4,500 per year)
4 $442 per month ($5,304 per year)
Family Size
1 $2,000
2 $4,000

(Add $100 per additional family member)

Aged, Blind and Disabled

Income Limits
Resource Limits
  • Individual: $317 per month ($3,804 per year)
  • Couple: $375 per month ($4,500 per year)
  • Individual: $2,000
  • Couple: $4,000

SOURCE: Georgia Department of Community Health Website