How to Pair Georgia Waivers with Different Types of Services to Grow Your Agency
Most Georgia home care agencies are sitting on untapped revenue, and they don’t even know it.
You already have the clients. You already have the provider enrollment. You already have the infrastructure. But if you’re only delivering one or two service types per waiver, you’re leaving money behind that your clients’ waivers already authorize.
This guide breaks down exactly how to identify which services each Georgia waiver covers, how to add new services to your existing enrollment, and how to communicate those options to clients and care managers so your agency grows without having to chase a single new referral.
Part 1: How to Identify Which Additional Services Each Waiver Allows
Georgia operates several Medicaid waiver programs through the Department of Community Health (DCH) and the Department of Behavioral Health and Developmental Disabilities (DBHDD). Each waiver has a defined service array, and most agencies only deliver a fraction of what’s available.
Community Care Services Program (CCSP)
CCSP is one of the most commonly used waivers in Georgia for home care agencies. Most providers enroll to deliver personal care services, but the waiver also authorizes:
- Alternative Living Services (ALS) — supported residential settings outside the home
- Adult Day Health — structured daytime supervision and health monitoring
- Attendant Care — hands-on personal assistance with ADLs
- Respite Care — short-term relief for family caregivers
- Home Delivered Meals — meal preparation and delivery
- Environmental Accessibility Adaptations — minor home modifications for safety
- Specialized Medical Equipment and Supplies
If your agency is enrolled under CCSP for personal care only, you may be eligible to add attendant care, respite, and home-delivered meals without starting a new enrollment from scratch.
SOURCE
SOURCE is a care management-forward waiver that coordinates services for medically complex adults. Approved service types include:
- Personal care
- Nursing services
- Case management (through designated providers)
- Home health aide services
- Respite care
- Adult day health
SOURCE clients often have higher medical acuity, meaning their authorized hours tend to be higher, and the opportunity to bundle services is significant.
NOW and COMP Waivers (DBHDD)
The New Options Waiver (NOW) and Comprehensive Supports Waiver (COMP) serve individuals with intellectual and developmental disabilities. These waivers carry an extensive service array that many agencies never fully explore:
- Supported employment
- Community access
- Behavioral supports
- Natural supports training
- Respite
- Personal support
- Specialized medical equipment
- Supported living
If your agency already serves NOW/COMP clients for personal support, adding community access or behavioral support services — where you have qualified staff — can substantially increase revenue per client.
How to Look Up the Full Service Array
Georgia waiver service definitions are available on the Georgia Medicaid Management Information System (MMIS) and through the DCH waiver amendments posted on the Georgia Department of Community Health website.
For each waiver, locate the most recent approved amendment and review the “Covered Services” section. This document will list every service code, billing unit, rate, and provider qualification requirement.
Pro tip: Cross-reference the service array against your current staff credentials. You may already have staff qualified to deliver additional services.
Part 2: The Steps to Add New Services to Your Existing Provider Enrollment
Adding new services doesn’t require starting over. In most cases, it’s an amendment to your existing Georgia Medicaid provider enrollment — not a new application.
Step 1: Log Into the Georgia Web Portal (GWF)
Access the Georgia Web Portal at www.mmis.georgia.gov. Navigate to the Provider Enrollment section and locate your current enrollment record.
Step 2: Identify Your Current Taxonomy Codes and Service Codes
Review which procedure/service codes are currently active on your enrollment. Compare this list to the full service array for your target waiver(s). The gap between what you’re authorized to bill and what the waiver allows is your opportunity.
Step 3: Submit a Provider Enrollment Modification
To add new service types, you’ll typically submit a Provider Enrollment Maintenance request through the portal. Depending on what you’re adding, you may need to:
- Update your NPI taxonomy code
- Attach updated licensure, certification, or accreditation documentation
- Provide evidence of staff qualifications for the new service type
- Update your liability insurance to reflect expanded scope
For waiver-specific services (NOW/COMP), you may also need prior approval from DBHDD before billing begins.
Step 4: Coordinate with the Appropriate Program Office
For CCSP and SOURCE, coordinate with the DCH Medical Assistance Plans division. For NOW/COMP, coordinate with DBHDD’s Waiver Unit. Both have provider relations teams that can confirm documentation requirements before you submit.
Step 5: Update Your Internal Processes Before You Bill
Before billing a new service code, ensure:
- Staff are trained and documentation reflects the correct service type
- Your EVV system is configured for the new service codes (if applicable)
- Your care plans reflect the added service and have been signed off by the care manager
- Your billing team is familiar with the new procedure codes and units
Typical timeline: Enrollment modifications in Georgia can take 30–90 business days depending on the complexity of the change and documentation completeness. Start the process before you need to bill.
Part 3: How to Communicate New Service Options to Current Clients and Care Managers
Expanding your service offering only works if the right people know about it. Here’s how to approach those conversations strategically.
Talking to Care Managers and Support Coordinators
Care managers are your fastest path to updated authorizations. They hold the plan of care, they know what’s authorized, and they’re often looking for reliable providers to fill gaps.
Reach out to each care manager with a brief, specific message — not a generic flyer. Something like:
“Hi [Name], I wanted to let you know that [Agency Name] is now enrolled to deliver [new service type] under CCSP/NOW/COMP. Several of our shared clients may have this service authorized but undelivered. I’d love to review their plans and see if it makes sense to add it. Can we connect this week?”
Be specific about which waiver you’re referencing, which service you’re adding, and why it benefits their client. Care managers appreciate providers who come prepared, not vague.
Follow up in writing. After the call, send a short email confirming what you discussed and attach a one-page summary of your agency’s updated service offerings — service name, who qualifies, and what it looks like in practice.
Talking to Current Clients and Their Families
For many clients, the conversation is simple: “We now offer [X], and based on your plan, you may be eligible. Would you like us to coordinate this with your care manager?”
Lead with the benefit to them, not the administrative process. Some families don’t know what their waiver authorizes — your agency can be the one to open that door.
A few tips for client communication:
- Have the conversation in person when possible, during a routine visit
- Bring a simple one-page handout that explains the new service in plain language
- Make it clear that adding a service doesn’t disrupt current services or change their existing schedule
- Invite them to ask questions, and follow up with the care manager on their behalf if they’re interested
Create a Simple Internal Trigger System
Train your field supervisors and care coordinators to flag opportunities during routine check-ins. If a client mentions fatigue, a caregiver mentions burnout, or a family member expresses concern about a skill gap, those are signals to review the plan of care for underutilized authorizations.
Build a quarterly review into your operations: pull a list of active clients, cross-reference with authorized services, and identify any gaps. This doesn’t require new software — a simple spreadsheet review and a call to the care manager is often enough.
The revenue is already authorized. The clients are already on your caseload. The only thing standing between you and a larger per-client average is knowing where the gaps are and taking the steps to fill them.
If you want help navigating Georgia waiver enrollment or identifying which services your agency is eligible to add, the GEOH team is here to help.