Georgia Medicaid pays for in-home personal care and related services through 3 programs, including the Community Care Services Program (CCSP) and the Service Options Using Resources in a Community Environment (SOURCE). CCSP and SOURCE are both delivered under Georgia's Elderly and Disabled Waiver Program (EDWP). HCBS Incident Reporting System has been used statewide by providers since October 1, 2020 for the Independent Care Waiver Program (ICWP) and the Elderly and Disabled Waiver Program.
Which Georgia waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
Community Care Services Program (CCSP)
Population
Frail elderly and disabled Georgians who are otherwise eligible for nursing facility level of care
Services covered
service coordination / case management
adult day care
alternative living services
personal care
home-delivered meals
respite (family caregiver)
Billing format
Fee-for-service / managed care; EVV via Netsmart Mobile Caregiver+ or approved alternate
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
caregiver scheduling software for home care agencies.
Simple pricing
From$199/month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.