Georgia - Calendar Year 2007
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 - $623 per month ($7,476 per year)
  • Couple - $934 per month ($11,208 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
  • $1,869 per month ($22,428 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
  • $1,869 per month ($22,428 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
  • $1,869 per month ($22,428 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 and their Infants (RSM Adults and Newborns) - 200 % FPL

Pregnant women and their infants with family income at or below 200 percent of the federal poverty level.

Family Size
Income Limits
1 $1,702 per month ($20,424 per year)
2 $2,282 per month ($27,384 per year)
3 $2,862 per month ($34,344 per year)
4 $3,442 per month ($41,304 per year)

Each additional person: $580 per month ($6,960 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 $1,575 per month ($18,900 per year)
2 $2,111 per month ($25,332 per year)
3 $2,648 per month ($31,776 per year)
4 $3,184 per month ($38,208 per year)

Each additional family member: $536 per month ($6,432 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 $1,132 per month ($13,584 per year)
2 $1,518 per month ($18,216 per year)
3 $1,903 per month ($22,836 per year)
4 $2,289 per month ($27,568 per year)

Each additional family member: $386 per month ($4,632 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 $881 per month ($10,212 per year)
2 $1,141 per month ($13,692 per year)
3 $1,431 per month ($17,172 per year)
4 $1,721 per month ($20,652 per year)

Each additional family member: $290 per month ($3,480 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