The increasing number of Georgia’s approximately 1.5 million seniors who are choosing to age in place with assistance can have greater peace of mind, thanks to the state’s regulation and oversight of in-home care providers. Georgia’s Division of Aging Services also coordinates with various government and local agencies across the state to provide resources and programs that ensure senior residents of the Peach State enjoy a high quality of life. Georgians who hire a homemaker to help maintain their independence pay an average of $3,813 per month, which is significantly less than the median rate paid by seniors nationwide.

This guide offers details about the cost of in-home care in Georgia, as well as available options for financial assistance in the state and low-cost and free resources that may help seniors maintain their independence and continue living at home.

The Cost of In-Home Care in Georgia

In-Home Care Costs in Nearby States

Home care services cost an average of $3,813 per month in Georgia, according to the Genworth Cost of Care Survey 2019, which is $477 below the national average of $4,290. The average monthly costs are identical to those in the nearby states of South Carolina and Tennessee. Costs are slightly higher in Florida, where the monthly rate averages $4,004. Seniors in Alabama pay considerably less for in-home care at just $3,394 per month, on average.




United States Average




South Carolina





Cost of Other Types of Care in Georgia

Georgia seniors who are considering various care options will notice a distinct price variance based on the setting and type of care they need. At $3,909 per month, home health care services average just $96 more than in-home care. Assisted living in a residential setting costs considerably less at $3,335, while adult day care received in a group center on weekdays only averages just $1,435 per month. Nursing homes that provide 24-hour skilled services have the most expensive type of care, with an average cost of $6,684 per month.


In-Home Care


Home Health Care


Adult Day Care


Assisted Living Facility


Nursing Home Care

The Cost of In-Home Care in Georgia’s Top Cities

Comparing Costs Across Georgia

The cost of homemaker services in Georgia’s five largest cities varies by less than $600 per month, with three having rates above the $3,813 statewide median, and two below. The average cost in the state’s capital and most populous city, Atlanta, is $4,004 per month, which is the same price paid in the much smaller community of Athens. Rates are highest in the coastal city of Savannah at $4,195, slightly less in Columbus at $3,766, and lowest in Augusta, where in-home care costs an average of $3,623 per month.











Financial Assistance for In-Home Care in Georgia

Service Options Using Resources in a Community Environment Program

Georgia Medicaid offers the Service Options Using Resources in a Community Environment waiver to help seniors remain at home and avoid admission to a nursing home. Eligible applicants receive case management and comprehensive health care services, along with a range of medical and supportive services in their own home. A personalized care plan is drawn up that details the services required to meet a participant’s needs, which may include personal support, extended home health care, such as skilled nursing, an emergency response system and home-delivered meals. Around-the-clock access to the individual’s case manager and primary care doctor are also provided.

Who Is Eligible?
To enroll in the SOURCE program, Georgia residents must meet the financial eligibility requirements to qualify for full Medicaid coverage, and be assessed to verify their need for a nursing home level of care.

How to Apply
Interested seniors can apply for the waiver program by calling Home and Community Based Services at 866-552-4464.

Community Care Services Program

The Community Care Services program is a waiver offered to qualified seniors through Georgia Medicaid as an alternative to nursing home placement. Each approved applicant is assigned a care coordinator who develops a plan for the individual’s long-term care in cooperation with their primary care physician. The program covers medical care and support services, such as 24-hour in-home supervision, help with daily living activities, personal care, meal preparation or delivery, housekeeping, shopping assistance and in- or out-of-home respite care. The CCSP waiver also allows for self-direction, so enrollees may choose their own home care provider.

Who Is Eligible?
Applicants must be residents of Georgia and have a doctor-certified functional impairment that requires an intermediate level of nursing home care. They must also meet the financial eligibility criteria for full Medicaid coverage.

How to Apply
Seniors may contact their local Area Agency on Aging to schedule an eligibility assessment and begin the application process.

Home and Community Based In-Home Services

The Georgia Division of Aging Services provides funding for the non-Medicaid HCBS In-Home Services program, which was put in place to help elderly residents continue living independently in their own homes. Available services may vary depending on a senior’s location within the state, but the program generally covers personal care assistance, homemaker and chore services, telephone reassurance and friendly visiting, as well as emergency response services and home modifications to enhance accessibility and safety.

Who Is Eligible?
The In-Home Services program is open to Georgia residents aged 60 and older, without regard to income or asset levels. Financial and functional assessments are performed as part of the application process, and individuals determined to have the greatest need are given priority approval for the program.

How to Apply
Seniors in need of in-home assistance should contact the Area Agency on Aging serving their local area to apply.

More Ways to Pay for In-Home Care

While the above programs help many people finance in-home care, they will not cover all costs for everyone. There are other ways to pay for in-home care, including out-of-pocket arrangements with siblings, annuities, reverse mortgages, private insurance and more. Read’s Guide to In-Home Care Costs to learn more about these alternative payment options.

Free and Low-Cost In-Home Care Resources in Georgia

Residents of Georgia who want to maintain their independence by opting for in-home care have a wealth of resources available to help them age in place. These may include home-delivered meals, legal assistance, help with prescription drugs, transportation services and various other reduced-cost or free programs.

ContactServices Provided
Georgia Cares866-552-4464 – press option #4Georgia Cares offers information and help accessing health care services and prescription drug savings programs for Medicare-eligible individuals.
Transportation Services800-677-1116Assistance locating free or reduced-cost transportation services is available through ElderCare. Seniors may access volunteer driver programs, paratransit or door-to-door services, transportation vouchers and other options in their community or local area.
Senior Nutrition and WellnessContact your local Area Agency on AgingThe Georgia Division of Aging funds a suite of nutrition and wellness programs through local AAAs. Seniors may qualify for home-delivered meals, nutrition education and counseling, fitness, flexibility and mobility classes and other resources.
Center for Positive Aging404-872-9191The Center for Positive Aging provides older adults with information and access to resources, programs, housing solutions and services throughout the state.
Legal AssistanceContact the Area Agency on Aging in your areaThe Elderly Legal Assistance Program provides Georgia residents aged 60 and over with free legal information, counseling and representation in civil matters.
Family Caregiver Support Program866-552-4464 – press option #2Seniors and their family caregivers can access information, support groups, counseling, caregiver training and short-term respite care assistance through the FCSP program administered by their local AAA.
Georgia HealthMatters404-576-0370Georgia HealthMatters promotes healthy living and aging for greater independence through nutrition, lifestyle management and physical activity. The organization hosts workshops on related topics in cooperation with local Area Agencies on Aging statewide.

In-Home Care Laws and Regulations in Georgia

The Healthcare Facility Regulation Division of the Department of Community Health is responsible for licensing private home care providers in the state of Georgia. The division also makes periodic inspections of each licensee, which may involve conducting interviews with the provider’s clients to verify compliance with state regulations. The following table provides an overview of the rules and regulations that apply to home care providers of personal care and companion/sitter services in Georgia.

Scope of CarePrivate home care providers and the personal care assistants they employ may provide a range of personal care and companion/sitter services to clients. Personal care tasks may include assistance with activities of daily living, such as bathing, grooming, dental care, transfers and ambulation, dressing and eating. They may also cover meal planning and preparation, shopping, light housekeeping and home management chores, including bill paying. Companion/sitter tasks include companionship, transportation and escort assistance and household chores related to safety and cleanliness.
Care Plan RequirementsWithin seven days of an initial visit to a client’s home, a home care provider must furnish the individual and/or their representative with a dated service agreement detailing a plan for their care. It must describe the functional limitations of the client, the specific care services they require, along with the frequency, duration and cost of the services to be provided. A supervisor must visit the client at least every 92 days to reevaluate their care needs and make any necessary updates to the service agreement.
Medication Management RequirementsPCAs may remind clients about taking medications and/or provide assistance with self-administration.
Staff Screening RequirementsAs of 2021, all staff members of PHCP agencies must submit to a background check that includes a review of the Nurse Aide registry. PCA workers must also pass initial and annual TB screening tests.
Staff Training RequirementsPCAs who work directly with clients providing personal care and companion/sitter services must complete nurse aide training and successfully pass the corresponding exam or have already completed a personal care credentialing program. Alternatively, they may enroll in a 40-hour training program through their employer, and complete 20 hours before serving clients and the remainder within six months. Completion of a comprehensive employer-provided orientation, basic first aid and CPR training, as well as eight hours of yearly continuing education are also required.
Medicaid CoverageGeorgia Medicaid offers two waiver programs that may cover some or all of the cost of in-home care. Seniors may apply for assistance through either the Service Options Using Resources in a Community Environment or Community Care Services Program.
Reporting AbuseConcerns about abuse, exploitation or neglect of an elderly Georgian who lives in their own home should be reported to the state’s Adult Protective Services agency by calling 866-552-4464 or filing a report online.

Frequently Asked Questions

Are There Transportation Assistance Programs in Georgia?

There are a variety of transportation assistance options available to Georgia seniors. Depending on their location, there may be door-to-door or paratransit services, city transportation service vouchers or volunteer driver programs. Residents may call ElderCare at 800-677-1116 to learn what is available in their area.

How Much Does In-Home Care Cost in Georgia?

In-home care services provided by a homemaker cost an average of $3,813 per month in Georgia. This figure from the Genworth Cost of Care Survey 2019 shows that the cost is comparable with surrounding states, and less than $100 below the average for home health care that includes skilled nursing services.

Does Georgia Medicaid Pay for In-Home Care?

Georgia Medicaid offers two waiver programs to help seniors pay for care services received in their own home. Commonly called the SOURCE and CCSP waivers, these programs have participation limits, and depending on availability, applicants may be placed on a waiting list before being enrolled.

What Does It Mean to Age in Place?

Aging in place is the ability to remain living in one’s own home, safely and independently. It may require making modifications to improve the home’s safety and accessibility, using assistive technologies and arranging for outside assistance with daily living activities and household tasks.

Does Medicare Pay for In-Home Care?

Medicare covers certain types of in-home care for beneficiaries who are under a doctor’s care and recovering from injuries, illnesses, surgeries or hospital stays. The program pays for short-term home health aide services, intermittent skilled nursing visits or a prescribed number of physical or occupational therapy sessions.

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