What Services
Does Medicaid
Cover in GA?
It’s always a good idea to ask your doctor or pharmacist whether Medicaid covers the specific service or item
you need. There are some limits to these services, and some may require you or your doctor to get permission
first. (This is called prior approval.) Following are basic Medicaid services. Additional services are offered by
each of the waiver programs. Your caseworker can provide more information about other available services.
In general, Medicaid covers these services:
Doctors’ and nurses’ office visits (when you visit a doctor or nurse for check-ups, lab tests,
exams or treatment)
Prescription drugs
Inpatient hospital services (room and board, drugs, lab tests
and other services when you have to stay in the hospital)
Outpatient hospital services (services you receive in a hospital,
even though you do not stay in the hospital overnight)
Nursing facilities (nursing homes) ν Emergency
ambulance services
Medicaid Waiver Programs in Georgia
Non-emergency transportation (to get to and from
medical appointments if you don’t have any
other means of transportation)
Medical equipment and supplies prescribed by a doctor
for use in your home (such as wheel chairs, crutches or walkers)
Home health services ordered by a doctor and received in your home (such as part-time
nursing, physical therapy or home health aides)
Hospice care services provided by a Medicaid hospice provider
Some other services covered by Medicaid include:
Case management ν Diagnostic, screening and
preventive services
Laboratory services V Behavioral or community
mental health services
Orthotics and prosthetics (artificial limbs and
replacement devices)
Podiatry services
Therapy services (physical, occupational and
speech) ν County Public Health Departments
Dialysis and services for end-stage renal
(kidney) disease
HOME AND COMMUNITY SERVICES: WHAT’S NOT COVERED?
Some services are not usually covered by Medicaid. These include: private duty nursing, services
given by a relative or member of your household, cosmetic surgery, disposables (such as adult
diapers or bandages), experimental items and chiropractic services among others.
If you’re not sure what Medicaid covers, ask your provider or call
CSRA Area Agency on Aging (866) 552-4467 or (706) 210-2018 47