Private Placement of a Child

A child placed by a parent or other responsible adult in a private placement facility or LA-D may be eligible for Family or ABD Medicaid.

For Family Medicaid, the child placed in a private childcare (residential) institution is considered as an AU of one (1) and no longer in the home of the family. A child placed in a psychiatric hospital by a parent or other caretaker relative would be considered absent from the home for treatment or training and would not be considered as an AU of one (1).

Refer to Chapter 2600, Family Medicaid AUs and BGs.

For FM, budget any money received by the facility for the child. If the parents provide money, it is considered child support and the $50 child support deduction is allowed. If another responsible adult provides money, it is considered a contribution.

For ABD Medicaid, see Section 2225 , Residency for determining state of residence.

Use the following chart of situations to determine if an individual is potentially eligible for Medicaid based on current living arrangement outside the home:

CHART 2066.1 INDIVIDUALS IN PLACEMENT OUTSIDE THE HOME Situation Medicaid Eligibility If the individual is placed in: Then s/he is Medicaid a public institution Temporary arrangement awaiting a more appropriate placement for his/her needs in a private facility ineligible eligible a public childcare institution that accommodates no more than 25 children and the child is receiving Title IV-E foster care payments eligible a publicly operated community residence or group living home that serves no more than 16 individuals (example: residential drug treatment center operated by the Mental Health Division of DHS) eligible a public educational or vocational training institution eligible a publicly operated general hospital eligible a publicly operated nursing home or hospice provider eligible a Regional Youth Detention Center operated by DJJ eligible a prison, jail or other incarceration facility operated primarily for detention ineligible a Youth Development Campus Temporary arrangement awaiting a more appropriate placement for his/her needs in a private facility ineligible eligible a public or private placement of legal commitment through court proceedings ineligible an institution operated for the treatment of mental diseases or tuberculosis ineligible a medical institution to receive medical care, such as a hospital eligible a private community facility such as a battered women’s or homeless shelter eligible an intermediate care facility for the mentally retarded (nursing home unit) even if located on the premises of a public institution eligible a private licensed group home or personal care home licensed as a CCSP provider eligible a private child care institution that provides 24-hour non-secure custodial care, such as a children’s home Consider the child an AU of one. Budget any money received by the facility for the child as income to the child. If the parents provide money, allow the $50 child support deduction. eligible an attention home operated by the DJJ eligible a contract home operated by the DJJ eligible a family foster home approved by DFCS or DJJ, Families First, Inc., United Methodist Children’s Home, Georgia Baptist Children’s Home (Palmetto) can use any other public or private agency which DFCS may approve for placement eligible a licensed private emergency shelter eligible an institution or foster care home in the state of Georgia placed by another state’s agency The child is IV-E eligible and receiving IV-E per diem in placement in Georgia. ineligible eligible Outdoor therapeutic program/outdoor therapeutic residential wilderness program. eligible