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Georgia Medicaid Home Care

Medicaid Home Care and Family Caregiver Support in Cobb County, Georgia

FreedomCare helps Cobb County families get paid through Georgia Medicaid for the care they're already giving a parent, sibling, or other loved one at home.

  • Learn how Medicaid and CCSP cover home care.
  • See who can qualify as a paid caregiver.
  • Find local resources and how to apply.
Cobb County Courthouse in Marietta, Georgia Cobb County, GA
788K County residents
13%+ Age 65 or older

If you are caring for a parent, an adult child, or another family member in Cobb County, you have probably already discovered that Georgia Medicaid does cover care at home. What is harder to find out is how to actually get it, and whether the care you are already providing can be paid. FreedomCare works with families across Georgia to answer exactly that.

Georgia covers home care through two Medicaid waiver programs, the Community Care Services Program (CCSP) and SOURCE. Inside both of them sits a service called Structured Family Caregiving, which pays a daily stipend to a family member who lives with the person they care for. That is the part most families in Marietta and across Cobb County have never heard of, and it is the part FreedomCare handles.

Not sure where your family fits? We can walk you through Georgia's home care programs and what they mean for your situation. Call (866) 506-9284 or check your eligibility online.

How Medicaid Home Care Works in Georgia

Georgia pays for home care through what are called 1915(c) Home and Community-Based Services waivers. The plain-English version: Medicaid has historically paid for nursing home care, and a waiver lets the state spend that same money on care at home instead. Both of Georgia's main programs for older adults and adults with physical disabilities sit under the state's Elderly and Disabled Waiver Program, and both are administered by the Georgia Department of Community Health, which publishes the full list of Medicaid waivers in the state.

People in Cobb County apply to both through the same door, which is covered further down this page.

Community Care Services Program (CCSP)

CCSP is the more widely used of the two. It serves Georgians who are 65 or older, or who are under 65 with a physical disability, and who need a nursing home level of care but want to stay at home. Covered services can include personal support, adult day health, home-delivered meals, an emergency response system, out-of-home respite, skilled nursing, and Structured Family Caregiving. The state's own page for this program is Apply for the Elderly and Disabled Waiver Program, so do not be thrown if the name looks different. Georgia now calls it the Elderly and Disabled Waiver Program, and CCSP is the former name most families still use.

CCSP has a higher income ceiling than SOURCE, which is why many families end up here. Some participants pay a monthly cost share based on income.

SOURCE Waiver

SOURCE covers the same set of home care services, with one significant addition: it ties the person's primary medical care to their home care in a single coordinated team. Participants enroll with a SOURCE site, where a primary care physician acts as both doctor and care coordinator. The goal is to catch problems before they turn into an emergency room visit.

The tradeoff is a tighter financial door. SOURCE eligibility is tied to SSI Medicaid, so the income limit is considerably lower than CCSP's. Families with a higher-need relative and very limited income often land here. Georgia's official page, Apply for SOURCE, lists the current requirements.

Structured Family Caregiving (SFC)

Structured Family Caregiving is not a third program. It is a service available inside both CCSP and SOURCE, and it is the pathway that pays a family caregiver.

Under SFC, a family member who lives in the same home as the person receiving care can receive a tax-free daily stipend, along with training and support from a health coach. The person receiving care has to be enrolled in CCSP or SOURCE first. SFC is delivered through state-approved provider agencies, and FreedomCare is a licensed SFC provider in Georgia.

If the model sounds familiar, that is because other states run something similar under a different name. What Georgia calls Structured Family Caregiving, Massachusetts calls Adult Foster Care and Connecticut calls Adult Family Living. Our guide to adult foster care explains the shared idea behind all of them: care at home, from someone the person already knows.

Worth knowing: the stipend under SFC is generally treated as a difficulty-of-care payment under IRS Notice 2014-7, which means it may be excluded from federal income tax. Tax treatment depends on your circumstances, so talk to a tax professional about your own situation.

CCSP and SOURCE at a glance

CCSPSOURCE
Who it servesAdults 65+, or under 65 with a physical disabilitySame, with an emphasis on chronic conditions needing close medical follow-up
Financial doorHigher income ceiling; cost share may applyTied to SSI Medicaid; considerably lower income limit
Medical careYou keep your own doctorPrimary care is coordinated through a SOURCE site
Home care servicesPersonal support, respite, meals, skilled nursing, and moreThe same services, plus the coordinated primary care layer
Structured Family CaregivingAvailableAvailable

For the full statewide picture, including the counties FreedomCare serves and a quick eligibility check, see our Georgia Medicaid home care overview.

Who May Qualify

Georgia looks at three separate things, and a family has to clear all of them. This is the part that surprises people, because being low-income is not by itself enough, and being sick is not by itself enough either.

  • Medical and functional need. The person must need a nursing facility level of care. In practice that usually means significant difficulty with activities of daily living such as bathing, dressing, toileting, transferring, or eating, or cognitive impairment that requires supervision. A nurse or case manager confirms this through an in-home assessment.
  • Financial eligibility. Determined by Georgia's Division of Family and Children Services, using long-term care Medicaid rules. Income and asset limits apply, and they are different for CCSP than for SOURCE. Figures change annually, so confirm current limits before you rely on them. The Medicaid application itself is filed through Georgia Gateway.
  • Georgia residency. The person must live in Georgia, and for SOURCE, in a county served by a SOURCE site.

Meeting all three does not guarantee enrollment. CCSP and SOURCE are not entitlement programs, which means the number of slots is capped and waiting lists exist. Waits vary by county and by program. That is a real constraint, and any agency that tells you otherwise is not being straight with you.

If the person you care for does not fit CCSP or SOURCE, Georgia runs other waivers that might. The Independent Care Waiver Program (ICWP) serves adults aged 21 to 64 with severe physical disabilities or traumatic brain injury. The New Options Waiver (NOW) and Comprehensive Supports Waiver (COMP) serve people with intellectual and developmental disabilities, and are run through the Department of Behavioral Health and Developmental Disabilities rather than through CCSP or SOURCE. FreedomCare works within CCSP and SOURCE, so those other waivers are not programs we administer, but you should know they exist. All of them are listed on the state's waiver programs page.

Eligibility is decided by the state, not by FreedomCare. We can help you understand the requirements and get through the process, but the assessment and the determination belong to Georgia Medicaid and its assessing agencies. Anyone may or may not qualify depending on their own financial, medical, and functional circumstances.

How Family Caregivers Fit Into Georgia Medicaid Home Care

Here is the question almost every family asks us, phrased almost exactly the same way: I am already doing this every day, can I get paid for it?

In Georgia, the answer runs through Structured Family Caregiving. The rules are specific, and it is better to know them now than to find out three months into an application.

To be a paid Structured Family Caregiver in Georgia, you generally must:

  • Be related to the person you care for, either by blood (daughter, son, grandchild, sibling) or by marriage (daughter-in-law, son-in-law)
  • Live in the same home as the person receiving care
  • Be the primary caregiver
  • Care for someone who is enrolled in CCSP or SOURCE
  • Be at least 18 years old, eligible to work in the United States, and not excluded from the Medicaid program

Who cannot be paid as a Structured Family Caregiver:

  • Spouses. A husband or wife cannot be paid as the structured family caregiver in Georgia. This is the single most common disappointment we have to deliver, and we would rather you hear it from us on day one.
  • Legal guardians and conservators. If you hold legal guardianship over the person you care for, you cannot also be their paid structured family caregiver.

One more requirement families are often caught off guard by: Structured Family Caregiving expects caregiving to be your primary focus, and program rules generally restrict outside employment while you are enrolled. If you are working full time and caring in the evenings, SFC may not be the right fit, and a different service under CCSP or SOURCE may serve you better. Ask us before you make any decisions about your job.

If a spouse is the one providing care, that does not mean the family has no options. The person receiving care may still qualify for personal support services, respite, meals, and other help under CCSP or SOURCE. It just means the payment cannot flow to the spouse through SFC.

Our guide to getting paid as a family caregiver in Georgia walks through the programs, the requirements, and the application process in more detail.

Cobb County Statistics and Local Need

Cobb has one of the higher shares of residents over 65 in metro Atlanta, and a sizable veteran population. Families here often start looking into home care after a hospital stay, not before.

  • Population: 787,538 residents
  • Residents 65 and older: about 13.3%, or roughly 105,000 people
  • Median household income: $102,356
  • Residents below the poverty line: 8.5%
  • Veterans: 34,218

Those last two numbers matter more than they look. Georgia's Medicaid waiver programs are built for people who need nursing-home-level care but have limited income and assets, and a county with both an aging population and real financial strain is a county where a lot of families are eligible and do not know it.

The other thing the numbers do not show: most of the care in Cobb County right now is unpaid, and it is being done by an adult child who rearranged their life around it. That is who these programs exist for.

Cobb County Courthouse in Marietta, Georgia

Local Resources in Cobb County

Everything in Georgia's home care system starts in the same place, no matter which county you live in. Cobb County is served by the Atlanta Regional Commission, which is the designated Area Agency on Aging for the metro Atlanta region. Their intake service is called Empowerline, and it is the front door for CCSP and SOURCE.

Where to start

Empowerline (Atlanta Regional Commission AAA)

The intake point for both CCSP and SOURCE. Call 404-463-3333. They will do a phone screening and, if it looks like a fit, schedule an in-home assessment.

empowerline.org

Georgia Aging and Disability Resource Connection (ADRC)

The statewide network Empowerline belongs to. If a family member lives outside metro Atlanta, find their office here.

georgiaadrc.com

Georgia Division of Aging Services

Oversees the Area Agencies on Aging statewide.

aging.georgia.gov

Georgia Department of Community Health

Administers Medicaid and the waiver programs.

dch.georgia.gov

Georgia Gateway

Where the Medicaid application itself is filed, through the Division of Family and Children Services.

gateway.ga.gov

Cobb County Senior Services

County-level programs for older adults, including senior centers and local support.

cobbcounty.org/public-services/senior-services

FreedomCare Georgia

Statewide overview of CCSP, SOURCE, and Structured Family Caregiving with FreedomCare.

freedomcare.com/georgia

One practical note. When you call Empowerline, be ready to describe what the person actually cannot do on their own. Not "she has been declining," but "she cannot get out of the bathtub without help, and she has fallen twice." The assessment is built around function, and specifics move it forward.

If you are looking at a different part of metro Atlanta, we also cover Fulton County and Cherokee County.

How FreedomCare Supports Families

FreedomCare is a licensed Structured Family Caregiving provider in Georgia, and Cobb County is one of the counties we serve. In plain terms: once your family member is enrolled in CCSP or SOURCE and you are approved as their structured family caregiver, we handle enrollment, caregiver onboarding, and the payment side, so you get paid for the care you are already giving.

What that means in practice:

  • We help you understand whether Structured Family Caregiving is a realistic fit before you invest months in an application
  • We work alongside your CCSP or SOURCE case manager rather than around them
  • We handle caregiver onboarding, required documentation, and the paperwork that comes with enrollment
  • We pay caregivers weekly, on schedule
  • We stay available after enrollment, because the questions do not stop once the first payment lands

What we do not do is decide who qualifies. That belongs to Georgia Medicaid, the Area Agency on Aging, and the assessing nurse. We are honest with families about that from the first call, including when we think the answer is likely to be no.

We believe people should be able to grow old in their own homes, cared for by someone who knows them. That conviction is the whole of our vision and values. The programs to make it possible already exist in Georgia. Most families just never find out in time.

Frequently Asked Questions

1

Does Medicaid pay for home care in Cobb County?

Yes. Georgia Medicaid covers home care in Cobb County through the Community Care Services Program (CCSP) and the SOURCE waiver. Both allow people who would otherwise need nursing home care to receive services at home instead.

2

Can a family member get paid to provide care in Georgia?

In many cases, yes, through Structured Family Caregiving. A relative by blood or marriage who lives in the same home as the person receiving care may be eligible for a tax-free daily stipend. Spouses, legal guardians, and conservators cannot be paid as structured family caregivers in Georgia. Our full guide to whether a family member can get paid to be a caregiver in Georgia covers the details.

3

Can I get paid to care for my spouse in Georgia?

Not through Structured Family Caregiving. Georgia excludes spouses from being paid as structured family caregivers. Your spouse may still qualify for other CCSP or SOURCE services, such as personal support or respite care, so it is still worth applying.

4

What is the difference between CCSP and SOURCE?

Both offer the same home care services. SOURCE adds coordinated primary medical care through a SOURCE site and has a lower income limit tied to SSI. CCSP allows a higher income and lets you keep your own doctor, though some participants pay a monthly cost share.

5

How do I apply for Medicaid home care in Cobb County?

Start by calling Empowerline at 404-463-3333, the Area Agency on Aging serving Cobb County. They will screen you by phone and, if appropriate, schedule an in-home assessment. If the person is not already on Georgia Medicaid, a separate Medicaid application goes through the Division of Family and Children Services.

6

How long does approval take?

It varies, and it is rarely fast. Families commonly report several weeks to several months from first call to approval, depending on whether the person is already on Medicaid, how quickly assessments can be scheduled, and whether there is a waiting list. Waiting lists do exist for both programs. Applying early is the single most useful thing you can do.

7

What about retroactive Medicaid?

One thing worth knowing while you wait: Georgia Medicaid can cover certain medical costs incurred in the three months before an application was filed. If bills piled up before you applied, read our guide to retroactive Medicaid in Georgia and ask about it when you apply. Nobody at the county office is going to raise it for you.

8

What documentation will I need?

Expect to provide identification, Social Security information, proof of income, bank statements and asset documentation, and medical records supporting the level of care needed. Missing paperwork is the most common reason applications stall, so gathering it early is worth the trouble.

9

Do I have to quit my job to be a paid family caregiver?

Structured Family Caregiving generally expects caregiving to be your primary role, and program rules restrict outside employment. This is a significant decision and it deserves a real conversation before you make any changes at work. Call us at (866) 506-9284 and we will tell you honestly whether SFC fits your situation.

Next Steps

If you are caring for someone in Cobb County and you think Medicaid home care might apply, there are two calls worth making.

The first is to Empowerline at 404-463-3333. That starts the official screening for CCSP or SOURCE, and nothing else can happen until it does.

The second is to us. FreedomCare can tell you whether Structured Family Caregiving is a realistic path for your family, what the application will actually require, and what to expect on timing. If the answer is no, we will say so, and we will point you toward what might work instead. You can check your eligibility on our Georgia page or call us at (866) 506-9284.

Talk to someone who knows Georgia Medicaid home care. We will walk you through what is available in Cobb County and what your family may qualify for. Call (866) 506-9284 or check your eligibility online.

This page is for general education. Eligibility for Georgia Medicaid home care depends on individual financial, medical, and functional criteria and is determined by the State of Georgia. Program requirements and availability may change. Confirm current details with Georgia Medicaid and your Area Agency on Aging.

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Why Families Choose FreedomCare

Dorothy Zuniga
Dorothy Zuniga@username
I have multiple sclerosis. After my second hospitalization, I realized I needed help. To have my best friend be here for me is a blessing. My caseworker, Ashley, is very helpful — I feel comfortable calling anytime. And having someone I trust work for me keeps my mind at ease.
Roberta Salley
Roberta Salley@username
I didn’t want an aide; I don’t get along well with strangers. My daughter knows me and loves me; she looks right past my attitude. With her as my aide, I think I’m gonna hit 90. You watch. I’m gonna be the first one in my family to make 90.
Richard Branker
Richard Branker@username
We brought in a couple of aides for my mother, but I could tell she wasn’t happy. Now I get to care for Mom daily — and she’s smiling and laughing. I feel really good, knowing she’s getting stronger each day.
Why families trust FreedomCare
8,000+
Google 5-star reviews
154M+
Million Hours of Loving Care Delivered
162K+
Families Supported with Dignity and Care
100%
Guaranteed On-Time Weekly Payments

Need Help Now?

866-506-9265
Mon–Fri 8am–6pm MST

We help families across Georgia every day.

georgia state map
Get Expert Help
— IT’S FREE

We’ll help you find the right program for your family.

Why Families Choose FreedomCare

Dorothy Zuniga
Dorothy Zuniga@username
I have multiple sclerosis. After my second hospitalization, I realized I needed help. To have my best friend be here for me is a blessing. My caseworker, Ashley, is very helpful — I feel comfortable calling anytime. And having someone I trust work for me keeps my mind at ease.
Roberta Salley
Roberta Salley@username
I didn’t want an aide; I don’t get along well with strangers. My daughter knows me and loves me; she looks right past my attitude. With her as my aide, I think I’m gonna hit 90. You watch. I’m gonna be the first one in my family to make 90.
Richard Branker
Richard Branker@username
We brought in a couple of aides for my mother, but I could tell she wasn’t happy. Now I get to care for Mom daily — and she’s smiling and laughing. I feel really good, knowing she’s getting stronger each day.
Why families trust FreedomCare
8,000+
Google 5-star reviews
154M+
Million Hours of Loving Care Delivered
162,000+
Families Supported with Dignity and Care
100%
Guaranteed On-Time Weekly Payments

Need Help Now?

888-730-2654
Mon–Fri 8am–6pm MST

We help families across Georgia every day.

Georgia state map
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You’ve been caring for your loved one because it’s the right thing to do. FreedomCare can help you navigate Georgia’s CCSP program, understand your options, and take the first step toward care from someone you trust while they get paid for it.

Smiling senior mother and caregiver daughter hugging