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Medicaid referral for Home Care Services

Enter all information for referral 

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Medicaid Waiver Program Information

Medicaid Waiver Program - CCSP

Georgia Medicaid's Community Care Services Program (CCSP) operates under the Elderly and Disabled Waiver. CCSP is a program designed to help frail older adults remain living in their own homes or communities and to receive services in those locations as an alternative to nursing homes.

Medicaid Waiver Program - SOURCE

SOURCE is available to the frail elderly and disabled who are eligible or receiving SSI/Medicaid (Supplemental Security Income). People under age 65 are eligible provided that they have a disability and are receiving SSI/Medicaid. If you or your loved one is receiving SSI/Medicaid you may be eligible for the SOURCE Program.

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Structured Family Caregiving (SFC) Medicaid waiver program: 

The Structured Family Caregiving program offers financial and support services to Georgia families that deliver care at home for a senior or disabled person. You may meet SFC requirements and be eligible for financial compensation if:

  • You live with the person as the primary caregiver

  • Are related biologically as a daughter, grandson, etc. or are related through marriage as a daughter-in-law, son-in-law, etc.

  • The person you take care of is Georgia Medicaid-eligible and participates under the CCSP or SOURCE waiver program

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For a Referral: 

If you currently have medicaid or are eligible and would like a referral to either the CCSP, SOURCE, or SFC program for in-home care services please fill out the Medicaid referral form on this page or call us at (404) 910-6174 

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*Referrals to the CCSP or SOURCE program do not guarantee approval. 

©2010 by Ally Home Care. All Rights Reserved.

(404) 910 - 6174

Clarkston, Georgia 30021

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