Medicaid State Plan

The Medicaid State Plan is a contract between a state and the Federal Government describing how Georgia administers its Medicaid program. As required under Section 1902 of the Social Security Act, the plan was developed by Georgia and approved by the U.S. Department of Health and Human Services.  The state plan includes provisions that describes groups of individuals to be covered by Medicaid, Medicaid covered services, reimbursement methodologies for providers and the administrative requirements that States must meet to participate.  The approved State Plan also provides assurance that Georgia abides by Federal rules and may claim Federal matching funds for its Medicaid program activities.

Georgia makes changes to the State Plan through the use of a State Plan Amendment, otherwise referred to as a SPA, submitted to the Centers for Medicare and Medicaid Services (CMS) for review and approval.

Georgia has provided access to the State Plan on this website for informational purposes only.  It is not legally binding. The official plan is maintained by CMS Region IX.   This plan is current as of July 1, 2012.

Georgia Medicaid State Plan under Title XIX of the Social Security Act

Georgia Medicaid State Plan Download this pdf file. Numbered Pages
Organization of the Single State Agency Download this pdf file. Attachment 1
Member Coverage Download this pdf file. Attachment 2
Amount, Duration and Scope of Services Download this pdf file. Attachment 3
Case Management Download this pdf file. Attachment 3.1-A Supplement 1
Provider Reimbursement Download this pdf file. Attachment 4 (Attachments 5 and 7 included)
GA Citation ListingAttachment 5 (see above Attachment 4)
NondiscriminationAttachment 7(see above Attachment 4)