Medicaid in Georgia runs through the Department of Community Health, which sets policy for the whole program, while the actual financial-eligibility decisions get made at the county level by the Division of Family and Children Services (Georgia Department of Community Health; DCH Medicaid Managed Care).

Most Georgians on Medicaid are enrolled in Georgia Families, the state's mainstream managed-care plan — but that program isn't where long-term care lives. Aged, blind, and disabled applicants who need long-term services and supports are routed away from Georgia Families and into fee-for-service Medicaid instead, according to the state's federal program factsheet (Medicaid.gov Georgia program factsheet).

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