Page Reviewed / Updated - Feb. 2016
SOURCE is an acronym for Service Options Using Resources in a Community Environment. The program is designed for frail, elderly, and disabled Georgians who require the level of care typically provided in a nursing home. However, this program allows eligible individuals to receive care in their homes or communities (such as in assisted living facilities, also referred to as personal care homes) and avoid having to use long-term nursing home care. This program provides both medical care and non-medical personal care services to very low income individuals.
Originally this program was only available in certain areas of the state, but now it is open to residents statewide. In 2016, over 20,000 Georgians received assistance under this program. However, even with increased capacity, it is possible that a waiting list for services may exist. If an individual is already on Medicaid, the general enrollment time is two months.
This waiver is operated under Medicaid’s Elderly and Disabled Home and Community Based Services Waiver.
To be eligible for the SOURCE Waiver, an individual must be 65 years of age and older, or if he or she is under the age of 65, must have a disability. As the waiver is intended to divert individuals from nursing home placement, a requirement is that they need nursing home level care. In order to determine this, an assessment must be completed. Income and savings also play a role in the eligibility requirements.
This particular Georgia Medicaid waiver has income limits and financial resource limits that are slightly more restrictive than regular Georgia Medicaid. For 2016, the income limit for an individual is $733 / month, which is the current Social Security Income (SSI) rate. Cash, savings, and other liquid assets cannot exceed $2,000.
If the applicant is married and their spouse is not applying for Medicaid, the limits change. Spouses are allowed additional income and up to $119,220 in financial resources; their Community Spouse Resource Allowance.
It is possible to receive Medicaid even if one's income or assets are over the limits. Georgia has a Medically Needy Medicaid program that will considered persons with exceptionally high medical and care costs even though they are over the limits. Another option is to restructure one's finances through the creation of Medicaid exempt trusts and annuities so that their countable income and assets are within the acceptable limits. Persons hoping to qualify using this approach should be aware that legal or financial expertise is necessary. One can find Medicaid planning assistance here.
Services are determined on a case-by-case basis and can include any of the following:
More information about this program can be found in the Georgia SOURCE Factsheet. One can apply for the SOURCE waiver by contacting their local Department of Human Services, Division of Family and Children county offices. A list of contact information is available here.