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Working to improve health and access to care for Georgians
General Information
General Information Apply Now! Update Application
What is Medicaid?
What are the income and resource limits?
Should you apply for Medicaid?
What services does Medicaid cover?
Will I have to pay for Medicaid?
What happens after you apply for Medicaid?
Helpful telephone numbers & websites
Estate Recovery
Qualified Income Trust

What services does Medicaid cover?

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 Medical 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)
  • Emergency ambulance services
  • Emergency dental care for adults
  • 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 wheelchairs, 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
  • Diagnostic, screening and preventive services
  • Laboratory services
  • Medicare cost sharing
  • Mental health clinic services
  • Orthotics and prosthetics (artificial limbs and replacement devices)
  • Podiatry services
  • Therapy services (physical, occupational and speech)
  • Rural Health Clinic and Federal Qualified Health Center Services
  • Dialysis and services for end-stage renal (kidney) disease
What's Not Covered?

Some services are not 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 other.

If you're not sure, ask your provider or call the Georgia Health Partnership (GHP) at 
1-800-766-4456 or 1-866-211-0950.

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