These videos give an overview of the various Home and Community-Based Services (HCBS) available in Georgia for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions in Georgia. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Georgia. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
RESPITE CARE SERVICES PROVIDER IN GEORGIA
PROVIDING TEMPORARY RELIEF FOR PRIMARY CAREGIVERS WHILE ENSURING CONTINUITY OF CARE FOR INDIVIDUALS WITH DISABILITIES AND HEALTH NEEDS
Respite Care Services in Georgia offer short-term, temporary care and supervision for individuals with disabilities, chronic illnesses, or age-related conditions. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs, providing essential relief to family caregivers while ensuring individuals continue to receive safe, person-centered support.
1. GOVERNING AGENCIES
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers Respite Services for individuals with developmental disabilities through the NOW and COMP waivers
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Respite Care Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Respite Services meet Medicaid HCBS standards
2. RESPITE CARE SERVICE OVERVIEW
Respite Care Services provide substitute care and supervision for a participant on a short-term basis to relieve the usual caregiver.
Approved providers may deliver:
In-home respite (participant’s residence)
Out-of-home respite (in a licensed facility, community setting, or provider’s home where permitted)
Daytime or overnight supervision and personal care
Emergency respite during caregiver crises
Scheduled respite based on the family’s planned needs
Support may include assistance with:
Activities of Daily Living (ADLs) like bathing, dressing, grooming, and toileting
Mobility assistance and medication reminders (non-skilled nursing)
Meal preparation and feeding assistance
Recreational, social, or community activities
Health and safety monitoring
All services must follow the participant’s Individual Service Plan (ISP) and cannot duplicate services being provided simultaneously under other authorized programs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment for Respite Services
Maintain general liability and professional liability insurance
If providing facility-based respite, meet DBHDD or DCH facility licensing requirements
Develop comprehensive policies for caregiver relief, participant health and safety, and emergency response
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD to offer Respite Services
Complete pre-qualification checklist including business registration, staff qualifications, and insurance documentation
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, policies and procedures for respite care, staff credentialing documents, and participant intake forms
Provide emergency protocols, scheduling templates, and service tracking systems
Program Readiness Review:
DBHDD reviews provider readiness to deliver Respite Services, including participant safety protocols, staff training, and documentation systems
Approval & Medicaid Enrollment:
Upon DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes for Respite Services (hourly, daily, or session-based depending on the model)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, service authorization, and emergency contact protocols
Service delivery, health monitoring, and personal care assistance procedures
Documentation systems for scheduling, daily notes, and incident tracking
Emergency response plans and after-hours support systems
Client rights, HIPAA confidentiality, and grievance resolution policies
Staff background screening, credentialing, and training documentation
Medicaid billing, service authorization tracking, and audit readiness systems
6. STAFFING REQUIREMENTS
Role: Respite Services Manager / Program Coordinator
Requirements: Experience managing personal care or community support services preferred; background screening clearance
Role: Respite Caregivers / Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; CPR/First Aid certification; background screening clearance
All staff must complete:
Person-centered care, participant rights, and HIPAA confidentiality training
Emergency response, first aid, and abuse prevention training
Service documentation and incident reporting training
Annual refresher training on Medicaid compliance and participant safety
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Respite Care Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Elderly and Disabled Waiver Program (EDWP) (for aging populations needing caregiver relief)
Approved providers may deliver:
Scheduled in-home or facility-based respite care
Emergency respite based on critical caregiver needs
Overnight or daytime care with health and safety monitoring
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Setup
Timeline: 1–2 weeks
Phase: DBHDD Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Credentialing, and Service Documentation Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA RESPITE CARE SERVICES PROVIDER
WCG supports respite providers, personal care agencies, and direct support organizations in launching Medicaid-compliant Respite Care Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DBHDD and Medicaid provider enrollment support
Development of Respite Services Policy & Procedure Manual
Staff credentialing templates and participant intake documentation
Medicaid billing system setup and claims management
Website, domain, and email setup
Participant intake, scheduling, and daily service documentation templates
Emergency response planning and incident reporting systems
Quality assurance programs for service delivery monitoring
Community referral and caregiver network building strategies
Residential Care
RESIDENTIAL CARE SERVICES PROVIDER IN GEORGIA
PROVIDING SAFE, SUPPORTIVE LIVING ARRANGEMENTS FOR INDIVIDUALS WITH DISABILITIES, AGING NEEDS, AND CHRONIC CONDITIONS
Residential Care Services in Georgia offer structured, supportive living environments where individuals with disabilities, chronic illnesses, or aging-related needs can receive assistance with daily living activities, health maintenance, and community participation. These services are authorized under Georgia’s Medicaid programs, including both Home and Community-Based Services (HCBS) waivers and traditional Medicaid for Nursing Facilities or Assisted Living programs.
1. GOVERNING AGENCIES
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Manages community-based residential services under HCBS waivers (NOW, COMP)
Agency: Georgia Department of Community Health (DCH) — Healthcare Facility Regulation Division (HFRD)
Role: Licenses Assisted Living Communities, Personal Care Homes, and Nursing Facilities
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for Medicaid-funded residential settings, ensuring HCBS and institutional compliance
2. RESIDENTIAL CARE SERVICE OVERVIEW
Residential Care Services support individuals living in community or facility-based settings by providing:
24-hour supervision and health/safety monitoring
Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, toileting, mobility, and eating
Support with Instrumental Activities of Daily Living (IADLs) such as cooking, cleaning, laundry, and shopping
Medication administration and health oversight (delegated or nursing tasks depending on setting)
Transportation and assistance with community participation
Skill-building activities to encourage independence
Emergency response and crisis intervention when needed
Service types can include:
Community Residential Alternatives (group homes or shared living under NOW/COMP waivers)
Supported Living Arrangements
Personal Care Homes (small licensed facilities)
Assisted Living Communities (for seniors and individuals with disabilities)
Nursing Facilities (for those needing skilled nursing oversight)
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for applicable facility license (e.g., Personal Care Home License, Assisted Living License) through DCH HFRD
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS) if participating in HCBS or LTC Medicaid
Complete DBHDD Provider Enrollment if providing services under NOW/COMP waivers
Maintain general liability, professional liability, and property insurance
Meet Life Safety Code standards (NFPA compliance) for licensed facilities
Develop comprehensive policies for health and safety, medication management, emergency response, and resident rights
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Letter of Intent to DBHDD for HCBS residential services, or application to HFRD for licensed facility services
Complete required pre-qualification documentation including business registration and insurance verification
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, organizational structure, staff plans, policies and procedures manuals
Provide sample service plans, emergency protocols, and quality assurance plans
Site Readiness Inspection:
Fire Marshal Inspection
Life Safety Code compliance review
DBHDD site certification (for HCBS settings)
Approval & Medicaid Enrollment:
Upon state licensing and/or DBHDD approval, finalize Medicaid enrollment through GAMMIS
Configure billing systems according to service type (CRA, ALF, PCH, NF billing codes)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Facility License (if required: PCH, ALF, NF)
Proof of insurance
DBHDD-Compliant and/or HFRD-Compliant Policy & Procedure Manual including:
Resident intake, assessment, and individualized service planning
Medication management and health monitoring policies
Daily supervision, activity planning, and safety monitoring protocols
Emergency response, fire evacuation, and crisis management procedures
Incident reporting and abuse prevention systems
Staff credentialing, background screening, and training documentation
Medicaid billing, service documentation, and authorization tracking systems
6. STAFFING REQUIREMENTS
Role: Residential Manager / Administrator
Requirements: Bachelor’s degree in a human services field preferred for HCBS; Licensed Assisted Living Administrator required for ALFs; background screening clearance
Role: Direct Support Professionals (DSPs) / Personal Care Aides / Certified Nursing Assistants (CNAs)
Requirements: High school diploma or GED; CPR/First Aid certification; background screening clearance
Role: Licensed Nurses (for Nursing Facilities or Delegated Healthcare Tasks)
Requirements: Georgia RN or LPN licensure; background screening clearance
All staff must complete:
HIPAA confidentiality, resident rights, and abuse prevention training
Emergency preparedness, CPR/First Aid, and infection control training
Person-centered planning and community integration training
Annual continuing education for licensure or Medicaid compliance as applicable
7. MEDICAID WAIVER SERVICES
Depending on the residential setting, Medicaid coverage may include:
NOW and COMP Waivers (HCBS):
Community Residential Alternative (CRA)
Supported Living
Residential Staff Support
Traditional Medicaid (Institutional Settings):
Nursing Facility Services
Assisted Living under State Programs (optional limited support)
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Setup
Timeline: 2–3 months (longer if facility construction or remodeling is required)
Phase: DBHDD Site Certification and Medicaid Enrollment (HCBS Residential)
Timeline: 90–120 days
Phase: Staff Hiring, Training, and Program Finalization
Timeline: 30–60 days
Phase: Medicaid Billing System Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH) – Healthcare Facility Regulation Division (HFRD)
Website: https://dch.georgia.gov/divisionsoffices/hfrd
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA RESIDENTIAL CARE SERVICES PROVIDER
WCG supports residential providers, personal care home owners, and community-based living organizations in launching Medicaid-compliant Residential Care Services across Georgia.
Scope of Work:
Business registration and EIN/NPI setup
Medicaid and/or Residential Facility licensing enrollment assistance
Development of Residential Care Policy & Procedure Manual
Staff credentialing templates and participant intake forms
Medicaid billing system setup and claims management
Website, domain, and email setup
Resident intake, care planning, and daily documentation templates
Emergency response, fire safety, and evacuation system development
Quality assurance programs for service delivery monitoring
Community networking and case management referral strategies
Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN GEORGIA
EMPOWERING INDIVIDUALS WITH DISABILITIES TO ACHIEVE MEANINGFUL, COMPETITIVE EMPLOYMENT IN THEIR COMMUNITIES
Supported Employment Services in Georgia assist individuals with disabilities in preparing for, securing, and maintaining competitive integrated employment. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs and Vocational Rehabilitation (VR) programs, promoting independence, self-sufficiency, and full participation in the workforce.
1. GOVERNING AGENCIES
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers Supported Employment Services for individuals with intellectual and developmental disabilities (IDD) through the NOW and COMP waivers
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Supported Employment Services
Agency: Georgia Vocational Rehabilitation Agency (GVRA)
Role: Provides additional employment-related supports through pre-vocational training and job placement services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring employment services meet Medicaid HCBS person-centered and community integration requirements
2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW
Supported Employment Services assist individuals with disabilities to identify, obtain, and maintain competitive employment in the general workforce.
Approved providers may deliver:
Career exploration and vocational assessment
Job development and placement services
Job coaching and on-the-job skills training
Ongoing support to maintain employment
Self-employment support and business start-up assistance (where applicable)
Workplace advocacy and accommodation assistance
Soft skills training (e.g., communication, problem-solving, time management)
All services must be individualized based on the participant’s strengths, preferences, goals, and needs outlined in their Individualized Service Plan (ISP) or Vocational Profile.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment for Supported Employment Services
Maintain general liability and professional liability insurance
Develop policies for employment planning, workplace integration, documentation, and participant rights
(Optional but highly recommended) Become a provider with the Georgia Vocational Rehabilitation Agency (GVRA)
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD for Supported Employment Services
Complete pre-qualification checklist including business formation documents, insurance, and staffing plans
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, organizational structure, and staff credentialing documents
Provide sample employment support plans, job coaching protocols, and progress monitoring templates
Program Readiness Review:
DBHDD reviews provider readiness including systems for job development, coaching, data tracking, and Medicaid compliance
Approval & Medicaid Enrollment:
After DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes specific to Supported Employment (e.g., job development, intensive support, ongoing monitoring)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, vocational assessment, and service planning
Job development, placement, and job coaching protocols
Documentation of participant progress and employment outcomes
HIPAA confidentiality, participant rights, and grievance procedures
Staff credentialing, background screening, and training documentation
Medicaid billing, service authorization tracking, and quality assurance systems
6. STAFFING REQUIREMENTS
Role: Supported Employment Services Manager / Employment Specialist Supervisor
Requirements: Bachelor’s degree in vocational rehabilitation, human services, education, or a related field preferred; experience in employment services; background screening clearance
Role: Employment Specialists / Job Coaches
Requirements: High school diploma or GED minimum; training in supported employment models recommended (e.g., Association of Community Rehabilitation Educators (ACRE) certification); background screening clearance
All staff must complete:
Person-centered employment planning training
Disability awareness and accommodation training
Workplace safety, advocacy, and communication training
HIPAA confidentiality, abuse prevention, and participant rights training
Annual continuing education in employment services best practices
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Supported Employment Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Approved providers may deliver:
Discovery and vocational profiling services
Job development and placement support
Intensive on-the-job coaching and training
Ongoing follow-up services to sustain employment
Self-employment and small business development support (if specified)
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Credentialing Setup
Timeline: 1–2 weeks
Phase: DBHDD Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Vocational Rehabilitation Agency (GVRA)
Website: https://gvs.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA SUPPORTED EMPLOYMENT SERVICES PROVIDER
WCG supports employment agencies, community service organizations, and rehabilitation providers in launching Medicaid-compliant Supported Employment Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DBHDD Supported Employment provider enrollment and Medicaid setup
Development of Supported Employment Policy & Procedure Manual
Staff credentialing templates and participant vocational assessment forms
Medicaid billing system setup and claims configuration
Website, domain, and email setup
Discovery process, job development, and job coaching documentation templates
Emergency response and participant advocacy protocols
Quality assurance programs for employment outcome tracking
Community partnership development with employers and training institutions
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Personal Assistance
PERSONAL ASSISTANCE SERVICES PROVIDER IN GEORGIA
SUPPORTING INDEPENDENCE THROUGH HANDS-ON ASSISTANCE WITH DAILY LIVING ACTIVITIES IN HOME AND COMMUNITY SETTINGS
Personal Assistance Services (PAS) in Georgia help individuals with disabilities, chronic health conditions, or aging-related needs perform essential daily activities in their homes and communities. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs, promoting independence, dignity, and person-centered living.
1. GOVERNING AGENCIES
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers Personal Assistance Services for individuals under the NOW and COMP waivers
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Personal Assistance Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Personal Assistance Services meet Medicaid HCBS standards
2. PERSONAL ASSISTANCE SERVICE OVERVIEW
Personal Assistance Services offer hands-on support with daily activities to help participants maintain independence and full participation in community life.
Approved providers may deliver assistance with:
Activities of Daily Living (ADLs) such as bathing, dressing, grooming, toileting, eating, and mobility
Instrumental Activities of Daily Living (IADLs) such as shopping, meal preparation, laundry, light housekeeping, and medication reminders
Assistance with community outings and transportation coordination (non-medical)
Monitoring health and well-being and reporting changes to care teams
Support with communication, social interaction, and basic safety monitoring
Emergency response support
All services must align with the participant’s Individual Service Plan (ISP) and promote self-direction, independence, and dignity.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment for Personal Assistance Services
Maintain general liability insurance
Develop policies for participant intake, service delivery, emergency response, and participant rights protection
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD to provide Personal Assistance Services
Complete a pre-qualification checklist including business registration, insurance, and staffing plans
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, operational policies, and participant intake forms
Provide staff training documentation and sample daily service logs
Program Readiness Review:
DBHDD reviews provider readiness including participant protection protocols, staffing plans, and service delivery systems
Approval & Medicaid Enrollment:
Upon DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes specific to Personal Assistance Services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general liability insurance
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, needs assessment, and service planning procedures
ADL and IADL assistance protocols
Health monitoring and emergency response procedures
Daily documentation and incident tracking systems
Client rights, HIPAA confidentiality, and grievance handling procedures
Staff credentialing, background screening, and training records
Medicaid billing, service authorization tracking, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Personal Assistance Services Program Manager / Supervisor
Requirements: Experience in personal care, disability services, or community support management preferred; background screening clearance
Role: Personal Care Aides / Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; CPR/First Aid certification; background screening clearance
All staff must complete:
Person-centered service delivery and participant rights training
HIPAA confidentiality and abuse prevention training
Emergency preparedness, CPR/First Aid, and incident response training
Annual continuing education on direct support best practices and Medicaid service documentation
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Personal Assistance Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Elderly and Disabled Waiver Program (EDWP)
Approved providers may deliver:
Direct assistance with ADLs and IADLs in home and community settings
Community access support services
Health and safety monitoring to maintain participant well-being
Emergency backup assistance when needed
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Setup
Timeline: 1–2 weeks
Phase: DBHDD Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Credentialing, and Service System Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA PERSONAL ASSISTANCE SERVICES PROVIDER
WCG supports direct support agencies, caregiving organizations, and personal care providers in launching Medicaid-compliant Personal Assistance Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DBHDD and Medicaid provider enrollment support
Development of Personal Assistance Services Policy & Procedure Manual
Staff credentialing templates and participant intake documentation
Medicaid billing system setup and claims management
Website, domain, and email setup
Participant intake, daily service documentation, and incident tracking templates
Emergency preparedness and health monitoring procedures
Quality assurance programs for service delivery monitoring
Community networking and referral partnership strategies
Adaptive Equipment
ADAPTIVE EQUIPMENT SERVICES PROVIDER IN GEORGIA
IMPROVING MOBILITY, INDEPENDENCE, AND QUALITY OF LIFE THROUGH CUSTOMIZED EQUIPMENT SOLUTIONS
Adaptive Equipment Services in Georgia provide individuals with disabilities or chronic conditions with specialized equipment necessary to improve functional abilities, safety, and independence at home and in the community. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs, helping participants overcome environmental and physical barriers.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Adaptive Equipment Services
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers adaptive equipment approvals under the NOW and COMP waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Adaptive Equipment Services meet Medicaid HCBS standards
2. ADAPTIVE EQUIPMENT SERVICE OVERVIEW
Adaptive Equipment Services provide assessment, acquisition, customization, delivery, and training related to specialized devices that enable participants to perform daily activities safely and independently.
Approved providers may deliver:
Evaluations to determine adaptive equipment needs
Procurement and customization of adaptive equipment
Delivery, setup, and participant training on equipment use
Maintenance, repairs, and modifications to adaptive devices
Assistance integrating adaptive equipment into home or community settings
Examples of adaptive equipment include:
Wheelchairs (manual and powered) and custom seating systems
Transfer aids (e.g., mechanical lifts, slide boards)
Specialized beds, mattresses, and positioning devices
Augmentative communication devices (AAC)
Assistive technology for environmental control (e.g., adapted door openers, lighting control systems)
Modified utensils, adaptive writing devices, and custom mobility aids
All equipment must be medically necessary, authorized in the participant’s Individual Service Plan (ISP), and directly linked to improving independence, health, or safety.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment for Adaptive Equipment Services
Obtain appropriate professional certifications if assessing (Assistive Technology Professional (ATP) certification preferred)
Maintain general liability and product liability insurance
Develop policies for equipment assessment, delivery, maintenance, participant training, and warranty management
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD for Adaptive Equipment Services
Complete pre-qualification checklist including business registration, licensure, and insurance
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff credentialing documentation, and sample participant intake forms
Provide documentation of product sourcing, warranty handling, equipment maintenance procedures, and emergency protocols
Program Readiness Review:
DBHDD reviews readiness including provider’s assessment systems, participant support documentation, and Medicaid compliance systems
Approval & Medicaid Enrollment:
Upon DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes for Adaptive Equipment evaluation, acquisition, and training services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and product liability insurance
Professional certification verification (if applicable, e.g., ATP)
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, assessment, and equipment recommendation protocols
Equipment ordering, delivery, and training procedures
Repair, replacement, and warranty service processes
Emergency response protocols related to device failures
Client rights, HIPAA confidentiality, and grievance policies
Staff credentialing, background checks, and continuing education records
Medicaid billing, authorization tracking, and service documentation procedures
6. STAFFING REQUIREMENTS
Role: Adaptive Equipment Services Manager / Lead Specialist
Requirements: Certification as an Assistive Technology Professional (ATP) preferred; experience with adaptive devices and mobility support; background screening clearance
Role: Adaptive Equipment Technicians / Trainers
Requirements: Experience in adaptive equipment fitting, setup, and user training preferred; background screening clearance
All staff must complete:
HIPAA confidentiality, participant rights, and safety training
Adaptive equipment setup, troubleshooting, and maintenance training
Emergency procedures and incident reporting training
Annual continuing education on emerging adaptive technologies and Medicaid documentation standards
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Adaptive Equipment Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Independent Care Waiver Program (ICWP) (where adaptive equipment supports are medically necessary)
Approved providers may deliver:
Adaptive equipment evaluations and recommendations
Equipment procurement, setup, and participant training
Repairs, maintenance, and warranty management for Medicaid-funded devices
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Setup
Timeline: 1–2 weeks
Phase: DBHDD Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Credentialing, and Equipment Vendor Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Rehabilitation Engineering and Assistive Technology Society of North America (RESNA)
Website: https://www.resna.org/ (for ATP certification info)
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA ADAPTIVE EQUIPMENT SERVICES PROVIDER
WCG supports adaptive technology vendors and service organizations in launching Medicaid-compliant Adaptive Equipment Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
Medicaid provider enrollment and DBHDD service approval support
Development of Adaptive Equipment Services Policy & Procedure Manual
Staff credentialing templates and participant intake/assessment forms
Medicaid billing configuration and claims management
Website, domain, and email setup
Participant intake, equipment assessment, and authorization tracking templates
Emergency repair procedures and warranty management systems
Quality assurance programs for service delivery monitoring
Community referral and vendor partnership development strategies
Skilled Nursing
SKILLED NURSING SERVICES PROVIDER IN GEORGIA
DELIVERING PROFESSIONAL MEDICAL CARE IN HOME AND COMMUNITY SETTINGS TO PROMOTE HEALTH, SAFETY, AND INDEPENDENCE
Skilled Nursing Services in Georgia provide medically necessary nursing care to individuals with chronic conditions, disabilities, or complex health needs. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs and Medicaid State Plan programs, enabling participants to receive high-quality clinical care while remaining in their homes and communities.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Skilled Nursing Services
Agency: Georgia Board of Nursing
Role: Regulates licensure and practice standards for Registered Nurses (RNs) and Licensed Practical Nurses (LPNs)
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Skilled Nursing Services meet Medicaid and Medicare home health and HCBS standards
2. SKILLED NURSING SERVICE OVERVIEW
Skilled Nursing Services involve clinical assessments, medical treatments, and health monitoring performed under the direction of a licensed healthcare provider.
Approved providers may deliver:
Medication administration, complex medication management, and IV therapy
Wound care, dressing changes, and pressure sore management
Tracheostomy care, ventilator support, and respiratory therapies
Gastrostomy (G-tube) feeding and related interventions
Diabetic management and insulin injections
Catheter care and urinary system management
Chronic disease monitoring and health education
Emergency intervention planning and caregiver education
All services must be physician-ordered, documented in the participant’s plan of care, and delivered by appropriately licensed nursing professionals.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain a Home Health Agency License (if operating a full agency) through DCH’s Healthcare Facility Regulation Division (HFRD) or operate under a nurse delegation model (for certain waiver services)
Ensure nurses hold active Georgia RN or LPN licensure
Maintain professional liability insurance and general liability insurance
Develop clinical care policies aligned with Georgia Medicaid and Medicare standards
4. DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Skilled Nursing Services provider application through the Georgia Medicaid Management Information System (GAMMIS)
If operating a Home Health Agency, obtain licensing through DCH HFRD first
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance documentation, staff credentialing, and clinical service policies
Provide sample care plans, emergency protocols, and medication management documentation templates
Program Readiness Review:
DCH reviews readiness for clinical service delivery, Medicaid documentation standards, and participant safety compliance
Facility inspections may be required for agency-based models
Approval & Medicaid Enrollment:
After licensing (if applicable) and documentation approval, finalize Medicaid enrollment in GAMMIS
Set up billing codes specific to Skilled Nursing Services under State Plan and HCBS programs
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Home Health Agency License (if required)
Proof of professional and general liability insurance
Georgia Nursing Licenses for all clinical staff
DCH-Compliant Policy & Procedure Manual including:
Participant intake, nursing assessment, and individualized care plan development
Medication administration, respiratory support, and wound care protocols
Incident reporting, infection control, and emergency preparedness procedures
Client rights, HIPAA compliance, and grievance resolution policies
Staff credentialing, competency verification, and continuing education records
Medicaid billing, authorization tracking, and clinical documentation systems
6. STAFFING REQUIREMENTS
Role: Director of Nursing / Clinical Supervisor
Requirements: Active Georgia RN license; at least two years of nursing experience, preferably in home health or complex care settings; background screening clearance
Role: Registered Nurses (RNs)
Requirements: Active Georgia nursing license; CPR certification; background screening clearance
Role: Licensed Practical Nurses (LPNs)
Requirements: Active Georgia nursing license; CPR certification; background screening clearance
All staff must complete:
HIPAA confidentiality, participant rights, and abuse prevention training
Emergency response, infection control, and incident reporting training
Clinical competency assessments and annual skill evaluations
Continuing education to maintain nursing licensure and Medicaid compliance
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers and Programs authorize Skilled Nursing Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Independent Care Waiver Program (ICWP)
Georgia Pediatric Program (GAPP)
Medicaid State Plan (Home Health Services)
Approved providers may deliver:
Intermittent or continuous nursing care
In-home medical assessments and interventions
Caregiver education and health-related training
Transition nursing support during hospital discharges
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Setup
Timeline: 2–3 weeks
Phase: Home Health Agency Licensing (if applicable) and Readiness Review
Timeline: 90–120 days
Phase: Staff Hiring, Credentialing, and Clinical System Development
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Board of Nursing
Website: https://sos.ga.gov/
Georgia Healthcare Facility Regulation Division (HFRD)
Website: https://dch.georgia.gov/divisionsoffices/hfrd
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA SKILLED NURSING SERVICES PROVIDER
WCG supports healthcare agencies and clinical service providers in launching Medicaid-compliant Skilled Nursing Services under Georgia’s HCBS Waivers and State Plan programs.
Scope of Work:
Business registration and EIN/NPI setup
Home Health Agency licensing support and Medicaid enrollment assistance
Development of Skilled Nursing Services Policy & Procedure Manual
Staff credentialing templates and clinical documentation systems
Medicaid billing setup and claims configuration
Website, domain, and email setup
Participant intake, clinical assessment, and individualized plan templates
Emergency preparedness, infection control, and quality assurance systems
Community networking and discharge planning partnerships
Habilitation Services
HABILITATION SERVICES PROVIDER IN GEORGIA
EMPOWERING INDIVIDUALS WITH DISABILITIES TO DEVELOP SKILLS FOR GREATER INDEPENDENCE AND COMMUNITY PARTICIPATION
Habilitation Services in Georgia support individuals with developmental disabilities by helping them acquire, retain, or improve skills necessary for daily living, community integration, and self-sufficiency. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs, promoting independence, dignity, and a person-centered approach to care.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Habilitation Services
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers service delivery for individuals with intellectual and developmental disabilities through HCBS waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Habilitation Services meet Medicaid HCBS person-centered planning requirements
2. HABILITATION SERVICE OVERVIEW
Habilitation Services focus on providing individualized instruction and support to help participants develop skills for greater independence in home, work, and community settings.
Approved providers may deliver:
Daily living skills training (e.g., cooking, grooming, managing money)
Social and communication skills development
Mobility and transportation training
Self-advocacy and community integration activities
Support for recreational and educational pursuits
Behavior shaping and adaptive skill-building interventions
All services must be based on a participant’s Individual Service Plan (ISP) and designed to produce measurable outcomes that enhance quality of life and independence.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment and Credentialing Process
Obtain Behavioral Health/Developmental Disabilities (BHDD) Provider Certification through DBHDD if providing certain types of habilitation
Maintain general liability insurance
Develop policies and procedures consistent with Medicaid and DBHDD service standards
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD Provider Enrollment
Complete a pre-qualification checklist including business registration, insurance, and operational readiness
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, staff credentialing documentation, insurance policies, and detailed service descriptions
Provide participant intake forms, service delivery protocols, and incident management procedures
Program Readiness Review:
DBHDD conducts a pre-approval review of staffing, participant safety plans, emergency preparedness procedures, and training programs
Site visits and readiness inspections may be required for residential habilitation services
Approval & Medicaid Enrollment:
After DBHDD approval, finalize enrollment in the Georgia Medicaid Management Information System (GAMMIS)
Configure billing codes for habilitation services under Georgia’s HCBS waivers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of liability and professional insurance
DBHDD Provider Certification (if applicable)
DBHDD/Medicaid-Compliant Policy & Procedure Manual including:
Participant intake and assessment procedures
Individualized service planning and goal tracking
Documentation of service delivery and progress monitoring
Emergency preparedness and participant safety procedures
HIPAA confidentiality, client rights, and grievance policies
Staff background screening, credentialing, and training logs
Medicaid billing, authorization tracking, and documentation retention systems
6. STAFFING REQUIREMENTS
Role: Habilitation Services Supervisor / Program Manager
Requirements: Bachelor’s degree in human services, social work, education, or a related field preferred; experience in habilitation or developmental disabilities services; background screening clearance
Role: Direct Support Professionals (DSPs) / Habilitation Trainers
Requirements: High school diploma or GED required; CPR/First Aid certification recommended; background screening clearance
All staff must complete:
Person-centered planning and service delivery training
HIPAA confidentiality and participant rights training
Emergency response, incident reporting, and abuse prevention training
Annual continuing education on developmental disabilities support practices
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Habilitation Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Approved providers may deliver:
Community Living Support (CLS)
Community Access Individual (CAI) and Community Access Group (CAG) services
Prevocational Services (where authorized)
Behavior Support Services (if certified for behavior analysis)
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Credentialing Setup
Timeline: 2–3 weeks
Phase: DBHDD Pre-Qualification and Provider Approval Process
Timeline: 90–120 days
Phase: Staff Hiring, Credentialing, and Training Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment through GAMMIS and Billing Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA HABILITATION SERVICES PROVIDER
WCG supports habilitation agencies, direct support organizations, and entrepreneurs in launching Medicaid-compliant Habilitation Services under Georgia’s Medicaid HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DBHDD provider pre-qualification and Medicaid enrollment support
Development of Habilitation Services Policy & Procedure Manual
Staff credentialing templates and participant service documentation
Medicaid billing setup and authorization management
Website, domain, and email setup
Participant intake, assessment, and goal-tracking templates
Emergency preparedness, incident reporting, and participant protection systems
Quality assurance programs and audit-readiness systems
Community networking and referral relationship development
Adult Health Services
ADULT DAY HEALTH SERVICES PROVIDER IN GEORGIA
OFFERING HEALTHCARE, SOCIALIZATION, AND SUPPORT IN A COMMUNITY SETTING FOR ADULTS WITH DISABILITIES OR CHRONIC CONDITIONS
Adult Day Health Services in Georgia provide structured daytime programs offering nursing support, personal care, therapies, and social activities for individuals with disabilities, aging-related needs, or chronic health conditions. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs and the State Medicaid Plan, helping participants maintain independence while offering caregiver respite.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees licensing, Medicaid enrollment, service authorization, and reimbursement for Adult Day Health Services
Agency: Georgia Department of Human Services (DHS) – Division of Aging Services (for some non-Medicaid funding streams)
Role: Supports community-based aging and disability service programs, including day services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Adult Day Health Services meet Medicaid HCBS requirements
2. ADULT DAY HEALTH SERVICE OVERVIEW
Adult Day Health Services combine health services, personal care, and recreational activities in a protective group setting during daytime hours.
Approved providers may deliver:
Nursing services including medication administration and health monitoring
Physical, occupational, and speech therapy (as authorized)
Personal care assistance (e.g., toileting, grooming, eating support)
Nutritional services including meal preparation and feeding assistance
Social and recreational activities to promote community engagement
Health education and wellness activities
Transportation services to and from the center (optional, where authorized)
Services are designed to maintain or improve participants’ health, prevent institutionalization, and offer support to family caregivers.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain Adult Day Health Center License through DCH’s Healthcare Facility Regulation Division (HFRD)
Maintain general liability, professional liability, and property insurance
Employ qualified licensed nurses (Registered Nurses or Licensed Practical Nurses) for clinical oversight
Develop comprehensive participant care, safety, and emergency preparedness policies
4. DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit application for Adult Day Health Center License through HFRD
Submit Letter of Intent and provider application for Medicaid enrollment
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance documentation, staffing plans, and clinical protocols
Provide floor plans, life safety inspections, emergency response plans, and participant service models
Include sample daily schedules, health monitoring plans, and transportation coordination (if applicable)
Program Readiness Review:
DCH conducts site inspections for safety, accessibility, and staffing compliance
DBHDD or Medicaid survey teams may review service delivery readiness
Approval & Medicaid Enrollment:
Upon licensure and inspection approval, finalize Medicaid enrollment through GAMMIS
Configure billing codes specific to Adult Day Health Services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Adult Day Health Center License (DCH HFRD)
Proof of liability and property insurance
DCH-Compliant Policy & Procedure Manual including:
Participant intake, assessment, and individualized service planning
Medication administration, nursing services, and health monitoring procedures
Personal care assistance protocols
Daily programming for socialization, recreation, and therapies
HIPAA confidentiality, participant rights, and grievance resolution policies
Emergency preparedness, fire evacuation, and disaster recovery plans
Staff credentialing, background checks, and annual competency evaluations
Medicaid billing, service authorization tracking, and quality assurance systems
6. STAFFING REQUIREMENTS
Role: Program Director / Administrator
Requirements: Bachelor’s degree in human services, healthcare management, or nursing preferred; experience managing day programs; background screening clearance
Role: Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Requirements: Active Georgia nursing license; experience in community health preferred; background screening clearance
Role: Direct Care Workers / Personal Care Aides
Requirements: High school diploma or GED; CPR/First Aid certification required; background screening clearance
Role: Activity Coordinator (optional but recommended)
Requirements: Experience in recreational therapy or activity programming; background screening clearance
All staff must complete:
HIPAA confidentiality and participant rights training
Abuse prevention and emergency response training
Infection control and medication administration training
Annual training refreshers for clinical and personal care competencies
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers and Programs authorize Adult Day Health Services:
Elderly and Disabled Waiver Program (EDWP)
SOURCE Program (Service Options Using Resources in a Community Environment)
Comprehensive Supports Waiver Program (COMP) (for developmental disabilities, limited to specific models)
New Options Waiver Program (NOW) (for developmental disabilities, limited to specific models)
Approved providers may deliver:
Health monitoring and nursing services
Therapeutic activities and socialization supports
Personal care and nutritional services
Transportation (if part of the authorized service package)
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Application
Timeline: 2–3 months (depending on site readiness)
Phase: Facility Site Readiness, Inspections, and Licensure Approval
Timeline: 3–6 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 30–60 days
Phase: Medicaid Enrollment and Billing System Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH) – Healthcare Facility Regulation Division (HFRD)
Website: https://dch.georgia.gov/divisionsoffices/hfrd
Georgia Department of Community Health (DCH) – Medicaid Division
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Department of Human Services – Division of Aging Services
Website: https://aging.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA ADULT DAY HEALTH SERVICES PROVIDER
WCG supports day program agencies, healthcare providers, and senior service organizations in launching Medicaid-compliant Adult Day Health Services under Georgia’s HCBS and Medicaid State Plan programs.
Scope of Work:
Business registration and EIN/NPI setup
Adult Day Health Center licensing and Medicaid enrollment support
Development of Adult Day Health Services Policy & Procedure Manual
Staff credentialing templates and participant intake documentation
Medicaid billing system setup and claims management
Website, domain, and email setup
Daily activity planning templates and service documentation forms
Emergency preparedness, incident reporting, and infection control systems
Quality assurance programs for service delivery monitoring
Community networking and referral partnership development
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Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN GEORGIA
ENABLING GREATER INDEPENDENCE THROUGH ACCESS TO ADAPTIVE DEVICES, EQUIPMENT, AND TECHNOLOGICAL SOLUTIONS
Assistive Technology (AT) Services in Georgia provide individuals with disabilities or chronic conditions the devices and support they need to perform daily activities more independently. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs, enhancing participants' functional capabilities at home, work, and in the community.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Assistive Technology Services
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers service delivery for individuals enrolled in HCBS waiver programs (such as NOW and COMP)
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Assistive Technology Services meet Medicaid HCBS requirements
2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW
Assistive Technology Services include the evaluation, acquisition, customization, and maintenance of devices and equipment that enable individuals to increase, maintain, or improve their functional capabilities.
Approved providers may deliver:
Assessments to determine appropriate assistive technology needs
Purchase, leasing, or customization of assistive devices
Training participants and caregivers on device usage
Repairs, maintenance, and modifications of AT equipment
Support for integrating AT into daily activities, work, education, or community settings
Examples of covered devices may include:
Communication devices (e.g., speech-generating devices)
Environmental control units (e.g., remote control lighting or doors)
Adaptive switches and software
Specialized seating and positioning systems
Mobility aids not covered under standard durable medical equipment
Home automation and smart home technologies tailored for disability needs
All services must be authorized in the participant’s Individual Service Plan (ISP) and directly relate to improving independence, safety, or community participation.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment for Assistive Technology Services
Maintain general liability and product liability insurance
Employ qualified Assistive Technology Professionals (ATPs) where required for complex device assessments
Develop policies for assessment, equipment delivery, participant training, and maintenance services
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD Provider Enrollment
Complete pre-qualification checklist including business registration, staffing plans, and insurance verification
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, AT assessment tools, sample service logs, and participant intake forms
Submit staff credentialing documentation for ATPs and support personnel
Program Readiness Review:
DBHDD reviews provider readiness, staffing, documentation systems, and Medicaid billing compliance
Approval & Medicaid Enrollment:
After DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes for Assistive Technology Services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and product liability insurance
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, assistive technology assessment, and equipment recommendation protocols
Device procurement, setup, training, and troubleshooting procedures
Equipment repair, maintenance, and replacement policies
Emergency procedures for device failures
Client rights, HIPAA confidentiality, and grievance procedures
Staff credentialing, background screening, and continuing education records
Medicaid billing, service authorization tracking, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Assistive Technology Services Manager / Lead Clinician
Requirements: Certification as an Assistive Technology Professional (ATP) preferred; background screening clearance
Role: Assistive Technology Technicians / Trainers
Requirements: Experience in device setup, troubleshooting, and participant training preferred; background screening clearance
All staff must complete:
HIPAA confidentiality, client rights, and abuse prevention training
Training on device safety, maintenance, and participant support
Emergency preparedness and incident response training
Annual continuing education on emerging assistive technologies and Medicaid compliance
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Assistive Technology Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Independent Care Waiver Program (ICWP) (where AT supports are medically necessary)
Approved providers may deliver:
Device evaluations and assessments
Procurement and customization of adaptive equipment
Participant and caregiver training on device use
Repair and maintenance services for Medicaid-approved devices
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Setup
Timeline: 1–2 weeks
Phase: DBHDD Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Credentialing, and Training Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA ASSISTIVE TECHNOLOGY SERVICES PROVIDER
WCG supports providers, clinicians, and adaptive technology companies in launching Medicaid-compliant Assistive Technology Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
Medicaid provider enrollment and DBHDD service approval
Development of Assistive Technology Services Policy & Procedure Manual
Staff credentialing templates and participant intake documentation
Medicaid billing system setup and claims configuration
Website, domain, and email setup
Participant intake, device assessment, and service tracking templates
Emergency repair procedures and incident management systems
Quality assurance systems for service delivery and device effectiveness tracking
Community networking and referral partnership strategies
Behavioral Health
BEHAVIORAL SUPPORT SERVICES PROVIDER IN GEORGIA
PROMOTING POSITIVE BEHAVIORAL CHANGE THROUGH PERSON-CENTERED STRATEGIES AND SUPPORT
Behavioral Support Services in Georgia help individuals with developmental disabilities and behavioral challenges achieve greater independence, emotional regulation, and community integration. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs and are designed to reduce challenging behaviors while building adaptive, functional skills that enhance quality of life.
1. GOVERNING AGENCIES
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers Behavioral Support Services for individuals under the NOW and COMP waivers
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Behavioral Support Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Behavioral Support Services meet Medicaid HCBS standards and person-centered planning requirements
2. BEHAVIORAL SUPPORT SERVICE OVERVIEW
Behavioral Support Services involve the development and implementation of individualized strategies to reduce challenging behaviors and promote positive, socially appropriate alternatives.
Approved providers may deliver:
Functional Behavioral Assessments (FBAs) to identify causes and triggers of challenging behaviors
Development of Positive Behavior Support Plans (PBSPs)
Direct behavioral interventions to implement PBSPs
Training for caregivers, staff, and family members on behavior management strategies
Monitoring, revising, and updating PBSPs based on participant progress
Crisis prevention, de-escalation support, and emergency planning
Services must align with the participant’s Individual Service Plan (ISP) and focus on improving quality of life, increasing functional skills, and promoting autonomy.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment specific to Behavioral Support Services
Employ licensed and credentialed professionals (e.g., Board Certified Behavior Analysts (BCBAs), psychologists, or qualified behavioral specialists)
Maintain professional liability and general liability insurance
Develop comprehensive behavior support, safety, and crisis response policies
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD to become a Behavioral Support Services provider
Complete pre-qualification checklist including staffing plans, insurance coverage, and operational policies
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, professional licenses, staff training plans, and behavior support policy manuals
Provide sample behavior support plans, incident reporting procedures, and progress monitoring templates
Program Readiness Review:
DBHDD reviews provider readiness including staff qualifications, behavior planning systems, participant rights protections, and Medicaid documentation compliance
Approval & Medicaid Enrollment:
Upon DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes for Functional Behavioral Assessment, PBSP Development, and Behavioral Intervention Services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Licensure/certification proof for clinicians (e.g., BCBA, LPC, psychologist)
Proof of professional and general liability insurance
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, functional assessment, and service planning protocols
PBSP development, revision, and crisis intervention procedures
Staff training systems for behavior support implementation
Client rights, HIPAA confidentiality, and grievance policies
Staff credentialing, background screening, and competency evaluation documentation
Medicaid billing, service authorization tracking, and audit readiness procedures
6. STAFFING REQUIREMENTS
Role: Behavioral Support Services Supervisor / Clinical Lead
Requirements: Active Georgia license or certification (BCBA, LPC, psychologist); experience in developmental disabilities behavioral support; background screening clearance
Role: Behavioral Specialists / Behavior Technicians
Requirements: High school diploma or GED minimum for direct support roles; specialized training in behavior support; background screening clearance
All staff must complete:
HIPAA confidentiality, client rights, and abuse prevention training
Positive behavior support, de-escalation, and crisis prevention training
Emergency preparedness and incident reporting training
Annual continuing education specific to behavioral intervention best practices
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Behavioral Support Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Approved providers may deliver:
Functional Behavioral Assessments (FBA)
Positive Behavior Support Plan (PBSP) development and implementation
Direct intervention sessions with participants
Caregiver and staff training on behavior management and crisis prevention
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Setup
Timeline: 1–2 weeks
Phase: DBHDD Behavioral Support Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Credentialing, and Clinical Program Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Behavior Analyst Certification Board (BACB)
Website: https://www.bacb.com/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA BEHAVIORAL SUPPORT SERVICES PROVIDER
WCG supports behavioral health providers and clinical agencies in launching Medicaid-compliant Behavioral Support Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DBHDD Behavioral Support Services provider enrollment and Medicaid setup
Development of Behavioral Support Services Policy & Procedure Manual
Staff credentialing templates and participant intake systems
Medicaid billing configuration and claims management
Website, domain, and email setup
Functional assessment templates, PBSP development systems, and data tracking forms
Emergency crisis management protocols and incident reporting systems
Quality assurance programs for clinical outcome tracking
Community networking and referral partnership with schools, clinics, and care coordinatorsC
Home Modification
HOME MODIFICATION SERVICES PROVIDER IN GEORGIA
CREATING SAFE, ACCESSIBLE LIVING ENVIRONMENTS TO SUPPORT INDEPENDENCE AND COMMUNITY LIVING
Home Modification Services in Georgia help individuals with disabilities or chronic health conditions adapt their primary residences to meet their mobility, accessibility, and safety needs. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs and are critical to promoting independent living, reducing institutionalization, and enhancing participants' quality of life.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Home Modification Services
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers waiver services and monitors provider compliance for individuals with intellectual and developmental disabilities
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Home Modification Services meet Medicaid HCBS standards
2. HOME MODIFICATION SERVICE OVERVIEW
Home Modification Services involve the physical alteration of a participant’s primary residence to ensure the individual can safely access, use, and navigate their home environment.
Approved providers may deliver:
Installation of wheelchair ramps, stair lifts, and grab bars
Widening of doorways for mobility access
Bathroom modifications (roll-in showers, accessible sinks, safety rails)
Kitchen accessibility adjustments (lowered counters, accessible appliances)
Flooring changes to reduce fall risks
Structural modifications necessary for medical equipment use
Installation of specialized alarms or sensory enhancements (e.g., visual fire alarms)
All modifications must be medically necessary, directly support the participant’s health and safety, and be authorized in the participant’s Individualized Service Plan (ISP).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment and Certification process
Obtain appropriate professional licensure — Georgia General Contractor License required for structural modifications
Maintain general liability and, if applicable, worker’s compensation insurance
Develop procedures for project management, participant communication, building code compliance, and safety inspections
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD Provider Enrollment
Complete a pre-qualification checklist including business registration, licensure, and insurance verification
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, contractor license verification, insurance documentation, and sample project plans
Provide participant intake forms, home assessment templates, and emergency response plans
Program Readiness Review:
DBHDD reviews provider readiness including safety standards, documentation systems, and participant-centered project procedures
Approval & Medicaid Enrollment:
Upon DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes specific to Home Modification Services under Georgia’s HCBS waivers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Georgia Certified Contractor License
Proof of general liability and worker’s compensation insurance
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, home assessment, and needs verification protocols
Project planning, scheduling, and inspection procedures
Emergency preparedness and incident response procedures
Client rights, HIPAA compliance, and grievance resolution policies
Staff background checks, credential verification, and safety training documentation
Medicaid billing, service authorization tracking, and audit readiness protocols
6. STAFFING REQUIREMENTS
Role: Home Modification Services Manager / Project Supervisor
Requirements: Georgia Certified General or Residential Contractor License; experience with accessibility construction standards; background screening clearance
Role: Skilled Trades Workers (e.g., carpenters, electricians, plumbers)
Requirements: Appropriate state licensure and certifications for specialty work; background screening clearance
All staff must complete:
OSHA safety training (recommended)
Participant rights and HIPAA confidentiality training
Emergency procedures and Medicaid compliance training
Annual continuing education on ADA accessibility standards
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Home Modification Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Approved providers may deliver:
Modifications that promote accessibility, safety, and functional independence
Structural alterations that allow participants to live more independently
Specialized adaptations tied to medical or mobility needs
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Setup
Timeline: 2–3 weeks
Phase: DBHDD Provider Application and Readiness Review
Timeline: 90–120 days
Phase: Staff Hiring, Credentialing, and Safety Training
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Secretary of State – Contractor Licensing Division
Website: https://sos.ga.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA HOME MODIFICATION SERVICES PROVIDER
WCG supports contractors, home adaptation specialists, and service agencies in launching Medicaid-compliant Home Modification Services under Georgia’s Medicaid and HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
Contractor licensing support and Medicaid provider enrollment
Development of Home Modification Services Policy & Procedure Manual
Staff credentialing templates and participant project management documentation
Medicaid billing system configuration and claims management
Website, domain, and email setup
Participant intake, needs assessment, and authorization tracking templates
Emergency planning, incident reporting, and safety compliance systems
Quality assurance tools for project completion and participant satisfaction
Community networking and partnership strategies with hospitals, rehabilitation centers, and disability service organizations
Nursing Facility Transition
NURSING FACILITY SERVICES PROVIDER IN GEORGIA
DELIVERING 24-HOUR SKILLED NURSING CARE TO SUPPORT HEALTH, SAFETY, AND QUALITY OF LIFE FOR INDIVIDUALS WITH COMPLEX NEEDS
Nursing Facility Services in Georgia provide comprehensive, round-the-clock medical care, rehabilitation, and personal care for individuals with serious health conditions or disabilities who require ongoing clinical oversight. These services are authorized under Georgia’s Medicaid program and are a critical component of the state’s long-term care system, supporting individuals who cannot safely live independently.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH) — Healthcare Facility Regulation Division (HFRD)
Role: Licenses and inspects Nursing Facilities, oversees quality standards, and ensures regulatory compliance
Agency: Georgia Department of Community Health (DCH) — Medicaid Division
Role: Manages Medicaid enrollment, service authorization, and reimbursement for Nursing Facility Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for Medicare and Medicaid-certified Nursing Facilities, ensuring compliance with federal regulations
2. NURSING FACILITY SERVICE OVERVIEW
Nursing Facility Services offer comprehensive care designed to meet the medical, nursing, rehabilitative, and personal care needs of residents with complex, ongoing health issues.
Approved providers deliver:
24-hour skilled nursing care and medical supervision
Medication management and administration
Physical, occupational, and speech therapy (as needed)
Nutritional support, including therapeutic diets
Wound care, IV therapy, respiratory support, and tracheostomy care
Assistance with activities of daily living (ADLs) such as bathing, dressing, and toileting
Social activities, community integration, and psychological support
End-of-life (palliative) care and hospice coordination when appropriate
All services must be provided according to an individualized care plan developed through a comprehensive assessment process involving the resident, family, interdisciplinary team, and attending physician.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for and obtain a Nursing Facility License through DCH’s Healthcare Facility Regulation Division (HFRD)
Comply with the federal Nursing Home Reform Act (OBRA 1987) standards
Meet Life Safety Code and Physical Environment standards (NFPA compliance)
Obtain Medicare and Medicaid certification through CMS for dual participation (optional but highly recommended)
Maintain general liability, professional liability, and property insurance
Develop comprehensive operational, clinical, and emergency management policies
4. DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Certificate of Need (CON) application (required for new Nursing Facilities in Georgia)
Apply for Nursing Facility licensure through DCH HFRD
Complete Pre-Licensure Survey and readiness inspection by HFRD
Application and Documentation Submission:
Submit business incorporation documents, staffing plans, floor plans, insurance coverage, emergency preparedness plans, and life safety inspection documentation
Provide resident care policies, quality assurance plans, and infection control protocols
Licensing and Certification Survey:
Pass an unannounced inspection to assess compliance with state and federal standards
Undergo CMS Certification Survey if pursuing Medicare and Medicaid certification
Medicaid Enrollment:
After licensure and (optional) CMS certification, complete Medicaid provider enrollment through GAMMIS
Set up billing systems and Resident Assessment Instrument (RAI) Minimum Data Set (MDS) submission systems
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Certificate of Need (CON) approval
Nursing Facility License (DCH HFRD)
Proof of general, professional, and property insurance
DCH-Compliant Policy & Procedure Manual including:
Resident assessment, admission, and individualized care planning
Medication management, infection control, and fall prevention protocols
Emergency preparedness, evacuation plans, and disaster recovery strategies
Staff credentialing, training, and continuing education records
Quality Assurance and Performance Improvement (QAPI) Program
Resident rights, HIPAA compliance, and grievance procedures
Medicaid billing, MDS submission tracking, and documentation retention systems
6. STAFFING REQUIREMENTS
Role: Nursing Home Administrator
Requirements: Georgia Nursing Home Administrator License; experience managing long-term care operations; background screening clearance
Role: Director of Nursing (DON)
Requirements: Active Georgia RN license; management experience in skilled nursing; background screening clearance
Role: Registered Nurses (RNs) and Licensed Practical Nurses (LPNs)
Requirements: Active Georgia nursing licenses; CPR certification; background screening clearance
Role: Certified Nursing Assistants (CNAs)
Requirements: Georgia CNA certification; background screening clearance
All staff must complete:
Resident rights, HIPAA confidentiality, and abuse prevention training
Emergency preparedness and infection control training
Clinical competency assessments and ongoing annual training
Specialized dementia care training (for facilities serving individuals with Alzheimer’s or related disorders)
7. MEDICAID WAIVER SERVICES
Although Medicaid Waivers (like COMP, NOW) provide home and community-based care to avoid institutionalization, Nursing Facility Services are covered under Georgia’s Traditional Medicaid Long-Term Care (LTC) Program, not through waivers.
Covered services include:
Nursing and medical care
Therapy services
Pharmacy services
Nutritional and dietary services
Behavioral health services (if needed)
Social services and community re-engagement support
8. TIMELINE TO LAUNCH
Phase: Business Formation and Certificate of Need (CON) Approval
Timeline: 3–6 months
Phase: Facility Construction/Modification and Licensing Application
Timeline: 6–12 months (depending on scope)
Phase: Pre-Licensure Survey and CMS Certification Survey (if applicable)
Timeline: 3–6 months
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 2–3 months
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH) – Healthcare Facility Regulation Division (HFRD)
Website: https://dch.georgia.gov/divisionsoffices/hfrd
Georgia Department of Community Health (DCH) – Medicaid Division
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Board of Nursing
Website: https://sos.ga.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA NURSING FACILITY SERVICES PROVIDER
WCG supports long-term care agencies, healthcare entrepreneurs, and investors in launching Medicaid- and Medicare-compliant Nursing Facility Services under Georgia’s Traditional Medicaid Long-Term Care Program.
Scope of Work:
Business registration and EIN/NPI setup
Certificate of Need (CON) guidance and Nursing Facility licensing assistance
Medicare/Medicaid certification enrollment support
Development of Nursing Facility Policy & Procedure Manual
Staff credentialing templates and clinical documentation systems
Medicaid billing setup, MDS tracking, and claims configuration
Website, domain, and email setup
Resident intake, care planning, and discharge coordination templates
Emergency preparedness, infection control, and quality assurance systems
Community networking and hospital discharge partnership strategies
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Crisis Stabilization
CRISIS STABILIZATION SERVICES PROVIDER IN GEORGIA
PROVIDING URGENT SUPPORT TO ADDRESS BEHAVIORAL AND EMOTIONAL CRISES AND PROMOTE RECOVERY AND STABILITY
Crisis Stabilization Services in Georgia are short-term, intensive supports designed to assist individuals experiencing behavioral, emotional, or psychiatric crises. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs and other Medicaid-funded behavioral health programs, aiming to prevent unnecessary hospitalization and restore participants to their prior level of functioning in the community.
1. GOVERNING AGENCIES
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers Crisis Stabilization Services and monitors provider compliance for individuals with developmental disabilities and behavioral health needs
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Crisis Stabilization Services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Crisis Stabilization Services meet Medicaid HCBS and behavioral health standards
2. CRISIS STABILIZATION SERVICE OVERVIEW
Crisis Stabilization Services are short-term, structured services intended to:
Rapidly de-escalate behavioral health crises
Provide intensive supervision and therapeutic interventions
Ensure participant safety during periods of instability
Stabilize acute psychiatric symptoms
Prevent unnecessary hospitalization or institutionalization
Facilitate smooth transitions back to natural home settings or less restrictive environments
Approved providers may deliver:
24-hour supervision and monitoring
Psychiatric evaluation and medication management (in licensed settings)
Intensive behavioral support and therapeutic interventions
Crisis counseling and emotional support
Development of crisis intervention plans and relapse prevention strategies
Coordination with families, case managers, and community supports
Settings may include facility-based Crisis Stabilization Units (CSUs), mobile crisis response teams, or community-based stabilization services depending on the participant's need.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain Behavioral Health Facility License through the Georgia Department of Community Health – Healthcare Facility Regulation Division (HFRD) if operating a licensed Crisis Stabilization Unit
Complete DBHDD Provider Enrollment for crisis service delivery
Maintain professional, general liability, and property insurance
Employ licensed mental health clinicians (e.g., LPCs, LCSWs, psychologists, psychiatrists) and crisis-trained staff
Develop policies addressing emergency response, de-escalation, restraint/seclusion protocols (if applicable), and participant rights protections
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Letter of Intent to DBHDD for Crisis Stabilization Services
Complete pre-qualification checklist including business registration, insurance, facility requirements (if applicable), and staffing models
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, clinical staff credentials, operational policies, and sample crisis intervention plans
Provide safety plans, emergency evacuation procedures, and behavioral support templates
Program Readiness Review:
DBHDD conducts a comprehensive readiness review, including facility inspections (for CSUs) or programmatic audits (for community-based models)
Approval & Medicaid Enrollment:
After DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes specific to Crisis Stabilization Services (short-term intensive supports)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Behavioral Health Facility License (if operating a facility-based CSU)
Proof of insurance coverage (professional, general, property)
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, triage assessment, and crisis intervention planning
Crisis stabilization service delivery models and staffing plans
De-escalation techniques, restraint/seclusion protocols (if allowed)
Psychiatric support and medication management protocols (facility-based services)
HIPAA confidentiality, participant rights, and grievance procedures
Staff credentialing, background screening, and clinical competency documentation
Medicaid billing, service tracking, and incident reporting systems
6. STAFFING REQUIREMENTS
Role: Crisis Stabilization Program Manager / Clinical Supervisor
Requirements: Licensed mental health professional (LPC, LCSW, LMFT, psychologist); supervisory experience preferred; background screening clearance
Role: Mental Health Clinicians / Behavioral Health Specialists
Requirements: Georgia licensure or certification (as applicable); experience in crisis intervention; background screening clearance
Role: Psychiatrist or Nurse Practitioner (for psychiatric services in facility-based programs)
Requirements: Georgia licensure; experience with acute behavioral health crises
Role: Direct Support Staff / Behavioral Health Aides
Requirements: High school diploma or GED minimum; crisis intervention and de-escalation training; background screening clearance
All staff must complete:
Crisis Prevention Intervention (CPI) or equivalent de-escalation training
HIPAA confidentiality, participant rights, and abuse prevention training
Emergency preparedness and incident reporting training
Annual refreshers in behavioral health crisis management and documentation
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers and Programs authorize Crisis Stabilization Services:
Comprehensive Supports Waiver Program (COMP) (for developmental disabilities)
New Options Waiver Program (NOW) (for developmental disabilities)
Medicaid Behavioral Health State Plan Services (for general mental health crisis care)
Mobile Crisis Response and Stabilization Programs (for children and adults)
Approved providers may deliver:
Facility-based stabilization (short-term stays)
Mobile crisis response and in-home de-escalation supports
Crisis intervention planning, emotional support, and safety planning
Linkage to ongoing behavioral health services and supports
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Setup
Timeline: 2–3 months (longer if setting up a facility)
Phase: DBHDD Crisis Provider Application and Readiness Review
Timeline: 90–120 days
Phase: Staff Hiring, Credentialing, and Clinical Program Development
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA CRISIS STABILIZATION SERVICES PROVIDER
WCG supports behavioral health providers, residential care organizations, and crisis response teams in launching Medicaid-compliant Crisis Stabilization Services under Georgia’s HCBS and Medicaid behavioral health programs.
Scope of Work:
Business registration and EIN/NPI setup
DBHDD Provider Enrollment and facility licensing guidance
Development of Crisis Stabilization Services Policy & Procedure Manual
Staff credentialing templates and participant intake/crisis planning forms
Medicaid billing setup and claims management
Website, domain, and email setup
Crisis triage, service documentation, and incident reporting templates
Emergency preparedness, seclusion/restraint compliance (if applicable)
Quality assurance and outcome tracking programs
Community partnerships with hospitals, law enforcement, and behavioral health systems
Supported Living Services
SUPPORTED LIVING SERVICES PROVIDER IN GEORGIA
ASSISTING INDIVIDUALS IN ACHIEVING INDEPENDENCE WHILE LIVING IN HOMES OF THEIR CHOICE WITH PERSONALIZED SUPPORT
Supported Living Services in Georgia help individuals with intellectual and developmental disabilities live independently in their own homes or apartments, while receiving the necessary support to ensure their health, safety, and successful community integration. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs, promoting dignity, choice, and person-centered living.
1. GOVERNING AGENCIES
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers Supported Living Services for individuals enrolled in the NOW and COMP waivers
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Supported Living Services meet HCBS community-based and person-centered requirements.
2. SUPPORTED LIVING SERVICE OVERVIEW
Supported Living Services provide direct, individualized assistance to help participants maintain their own homes and be active members of their communities.
Approved providers may deliver:
Personal assistance with Activities of Daily Living (ADLs) such as bathing, grooming, dressing, toileting, and mobility
Support with Instrumental Activities of Daily Living (IADLs) such as cooking, housekeeping, laundry, and shopping
Health maintenance activities (non-nursing supports such as medication reminders and monitoring)
Assistance with budgeting, bill paying, and household management
Community access and transportation assistance
Emergency preparedness and crisis intervention support
Advocacy support to promote autonomy and self-determination
Services are tailored based on the participant’s needs and goals documented in their Individual Service Plan (ISP).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment for Supported Living Services
Maintain general liability insurance
Develop policies that prioritize person-centered planning, participant choice, health and safety, and dignity
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD for Supported Living Services
Complete pre-qualification checklist including business registration, staff structure, and insurance verification
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, operational policies, and participant intake forms
Provide sample support plans, daily documentation templates, and emergency protocols
Program Readiness Review:
DBHDD reviews provider’s readiness to deliver person-centered Supported Living Services, including staffing ratios, documentation systems, and participant protection protocols
Approval & Medicaid Enrollment:
Upon DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes for Supported Living Services under NOW and COMP waivers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general liability insurance
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, housing support assessment, and service planning procedures
ADL/IADL support protocols and daily support logs
Emergency preparedness and incident management plans
Client rights, HIPAA compliance, and grievance procedures
Staff background checks, credentialing, and training documentation
Medicaid billing, service authorization tracking, and quality assurance systems
6. STAFFING REQUIREMENTS
Role: Supported Living Services Manager / Supervisor
Requirements: Bachelor’s degree in human services, social work, or related field preferred; experience with developmental disabilities support services; background screening clearance
Role: Direct Support Professionals (DSPs) / Supported Living Aides
Requirements: High school diploma or GED required; CPR/First Aid certification recommended; background screening clearance
All staff must complete:
Person-centered planning and participant rights training
HIPAA confidentiality and abuse prevention training
Emergency response and incident management training
Annual refresher training on service documentation, health and safety standards, and community integration strategies
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Supported Living Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Approved providers may deliver:
Direct support with activities of daily living and independent living skills
Health-related assistance and monitoring (within non-nursing scope)
Crisis intervention support and advocacy
Coordination of community resources and housing stability efforts
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Credentialing Setup
Timeline: 1–2 weeks
Phase: DBHDD Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Credentialing, and Participant System Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA SUPPORTED LIVING SERVICES PROVIDER
WCG supports residential and community living providers in launching Medicaid-compliant Supported Living Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
DBHDD and Medicaid provider enrollment assistance
Development of Supported Living Services Policy & Procedure Manual
Staff credentialing templates and participant intake documentation
Medicaid billing setup and claims management
Website, domain, and email setup
Participant intake, housing support, and daily documentation templates
Emergency preparedness, incident reporting, and participant advocacy systems
Quality assurance programs for service delivery monitoring
Community outreach and partnership development strategies
Specialized Therapy
SPECIALIZED THERAPIES SERVICES PROVIDER IN GEORGIA
ENHANCING FUNCTIONAL SKILLS, COMMUNICATION, AND MOBILITY THROUGH INDIVIDUALIZED THERAPEUTIC SUPPORTS
Specialized Therapies in Georgia provide individualized therapy services designed to address specific developmental, cognitive, communication, behavioral, or physical needs. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs and aim to promote independence, skill development, and community integration for individuals with disabilities or chronic health conditions.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Specialized Therapies
Agency: Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Role: Administers waiver-based specialized therapy services for individuals with developmental disabilities
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight, ensuring therapy services meet Medicaid HCBS standards
2. SPECIALIZED THERAPY SERVICE OVERVIEW
Specialized Therapies include targeted therapeutic services designed to improve a participant’s functional abilities, health, communication skills, behavior, and mobility.
Approved providers may deliver:
Speech-Language Therapy (e.g., improving communication and swallowing function)
Occupational Therapy (e.g., fine motor skills, sensory integration, daily living skills)
Physical Therapy (e.g., gross motor skills, balance, strength, mobility training)
Behavioral Therapy (non-ABA models for emotional regulation and social skills)
Music Therapy (where authorized)
Art Therapy (where authorized)
Specialized Feeding Therapy (for individuals with complex eating or swallowing difficulties)
All services must be authorized through the participant’s Individual Service Plan (ISP) and focused on improving functional outcomes and promoting greater independence.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid provider through the Georgia Medicaid Management Information System (GAMMIS)
Complete DBHDD Provider Enrollment for Specialized Therapies
Therapists must hold active Georgia licenses in their respective disciplines (e.g., SLP, OT, PT)
Maintain professional and general liability insurance
Develop policies for therapy service delivery, participant safety, clinical documentation, and HIPAA compliance
4. DBHDD/DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit a Letter of Intent to DBHDD for Specialized Therapy Services
Complete pre-qualification checklist including business registration, licensing, and insurance verification
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, therapist licensure verification, insurance certificates, and service delivery models
Provide participant intake forms, therapy assessment templates, treatment plan formats, and progress reporting systems
Program Readiness Review:
DBHDD reviews clinical readiness, therapy planning systems, participant rights protections, and Medicaid documentation compliance
Approval & Medicaid Enrollment:
After DBHDD approval, complete Medicaid enrollment through GAMMIS
Configure billing codes for Specialized Therapy Services based on therapy discipline
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of therapist licensure (Georgia Board Licensure for SLP, OT, PT, etc.)
Proof of general and professional liability insurance
DBHDD-Compliant Policy & Procedure Manual including:
Participant intake, evaluation, and individualized therapy planning procedures
Service delivery tracking, therapy session documentation, and outcome measurement
Client rights, HIPAA confidentiality, and grievance handling policies
Staff credentialing, background screening, and clinical supervision documentation
Medicaid billing, service authorization tracking, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Clinical Supervisor / Therapy Program Manager
Requirements: Active Georgia license in the appropriate therapy discipline (e.g., PT, OT, SLP); supervisory experience preferred; background screening clearance
Role: Licensed Therapists (PTs, OTs, SLPs, etc.)
Requirements: Active Georgia professional licensure; CPR/First Aid certification recommended; background screening clearance
Role: Therapy Assistants (if applicable, such as Certified Occupational Therapy Assistants (COTAs) or Physical Therapy Assistants (PTAs))
Requirements: State licensure/certification as appropriate; background screening clearance
All staff must complete:
HIPAA confidentiality, participant rights, and abuse prevention training
Emergency preparedness and incident response training
Medicaid documentation and service delivery compliance training
Annual continuing education as required to maintain licensure and Medicaid standards
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Specialized Therapy Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Independent Care Waiver Program (ICWP) (where authorized for therapy needs)
Approved providers may deliver:
Speech, occupational, and physical therapy interventions
Behavioral therapies (non-ABA) and emotional support therapies
Specialized therapies related to communication, feeding, and sensory integration
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing Setup
Timeline: 1–2 weeks
Phase: DBHDD Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Credentialing, and Clinical System Setup
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD)
Website: https://dbhdd.georgia.gov/
Georgia Composite Medical Board (for Therapist Licensure Verification)
Website: https://medicalboard.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA SPECIALIZED THERAPIES PROVIDER
WCG supports therapy providers and clinics in launching Medicaid-compliant Specialized Therapies under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
Medicaid and DBHDD provider enrollment support
Development of Specialized Therapy Services Policy & Procedure Manual
Staff credentialing templates and participant intake documentation
Medicaid billing setup and claims management
Website, domain, and email setup
Therapy assessment templates, treatment planning, and progress monitoring systems
Emergency preparedness, incident reporting, and participant protection plans
Quality assurance and clinical outcome tracking programs
Community networking and referral development strategies
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Transportation Services
TRANSPORTATION ASSISTANCE SERVICES PROVIDER IN GEORGIA
CONNECTING INDIVIDUALS TO HEALTH CARE, EMPLOYMENT, AND COMMUNITY ACTIVITIES THROUGH SAFE, RELIABLE TRANSPORTATION SUPPORT
Transportation Assistance Services in Georgia help individuals with disabilities, chronic health conditions, or aging-related needs access essential destinations such as medical appointments, employment sites, educational programs, and community services. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs to promote independence, community integration, and quality of life.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Transportation Assistance Services
Agency: Georgia Department of Human Services (DHS) – Coordinated Transportation Program
Role: Manages state-funded and coordinated transportation services for eligible populations
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Transportation Assistance Services meet Medicaid HCBS requirements
2. TRANSPORTATION ASSISTANCE SERVICE OVERVIEW
Transportation Assistance Services provide non-emergency transport to and from approved locations that are necessary for an individual's health, employment, and community participation.
Approved providers may deliver:
Transportation to Medicaid-covered medical appointments
Transportation to employment sites, day programs, educational institutions, and community activities (when authorized)
Assistance with boarding, securing wheelchairs or mobility devices, and exiting vehicles
Escort services for individuals who require supervision during transport
Trip planning, scheduling, and coordination for participants with special needs
All transportation services must be pre-authorized in the participant’s Individual Service Plan (ISP) and meet Medicaid safety, accessibility, and reliability standards.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Transportation Provider through the Georgia Medicaid Management Information System (GAMMIS)
Obtain commercial vehicle insurance and general liability insurance
If providing Non-Emergency Medical Transportation (NEMT) through Georgia Medicaid, comply with all DHS and DCH NEMT provider requirements
Maintain Department of Transportation (DOT) compliance if operating larger vehicles
Ensure all vehicles are ADA-compliant where applicable
Develop policies for participant safety, driver training, vehicle maintenance, and trip documentation
4. DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Transportation Services provider application materials from DCH
(Optional) Coordinate with DHS if applying to be a participant in the state’s Coordinated Transportation Program
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, vehicle insurance, driver credentialing, and operational policies
Provide trip scheduling systems, participant intake forms, and emergency protocols
Submit driver background screening, defensive driving certifications, and vehicle inspection records
Program Readiness Review:
DCH reviews provider readiness for Medicaid service delivery, trip verification systems, vehicle safety standards, and participant protection policies
Approval & Medicaid Enrollment:
Upon approval, complete Medicaid enrollment through GAMMIS
Configure billing codes for Transportation Assistance Services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of commercial auto and general liability insurance
Vehicle inspection and maintenance records
DCH-Compliant Policy & Procedure Manual including:
Participant intake, transportation needs assessment, and trip authorization tracking
Scheduling, vehicle maintenance, and emergency response procedures
ADA compliance policies for accessible transportation
HIPAA confidentiality, client rights, and grievance procedures
Staff credentialing, driver background checks, and training documentation
Medicaid billing, service verification, and trip log systems
6. STAFFING REQUIREMENTS
Role: Transportation Program Manager / Dispatcher
Requirements: Experience in transportation logistics, human services, or healthcare transportation preferred; background screening clearance
Role: Drivers / Transportation Assistants
Requirements: Valid Georgia driver’s license; CPR/First Aid certification recommended; defensive driving certification preferred; background screening clearance
All staff must complete:
Passenger assistance, ADA compliance, and wheelchair securement training
HIPAA confidentiality and abuse prevention training
Emergency evacuation and incident reporting training
Annual refresher training on transportation safety standards and Medicaid documentation compliance
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Transportation Assistance Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Independent Care Waiver Program (ICWP)
Approved providers may deliver:
Transportation to and from authorized medical, employment, and community destinations
Specialized transport for individuals with mobility challenges
Trip documentation and service verification per Medicaid requirements
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Setup
Timeline: 1–2 weeks
Phase: Vehicle Purchase/Lease, Licensing, and Insurance Setup
Timeline: 2–4 weeks
Phase: DCH Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Training, and Vehicle Readiness Verification
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing Configuration
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Department of Human Services (DHS) — Coordinated Transportation
Website: https://aging.georgia.gov/programs-services/coordinated-transportation
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA TRANSPORTATION ASSISTANCE SERVICES PROVIDER
WCG supports transportation agencies and community service organizations in launching Medicaid-compliant Transportation Assistance Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
Medicaid Transportation Provider enrollment support
Development of Transportation Assistance Services Policy & Procedure Manual
Staff credentialing templates and trip documentation systems
Medicaid billing setup and claims configuration
Website, domain, and email setup
Participant intake, transportation needs assessment, and scheduling templates
Emergency preparedness, incident reporting, and vehicle safety systems
Quality assurance systems for trip verification and participant satisfaction
Community networking and partnership building strategies
Home Health Services
HOME HEALTH SERVICES PROVIDER IN GEORGIA
DELIVERING SKILLED NURSING, THERAPY, AND PERSONAL CARE SERVICES TO INDIVIDUALS IN THE COMFORT OF THEIR OWN HOMES
Home Health Services in Georgia provide medically necessary clinical care, therapeutic interventions, and supportive assistance to individuals with disabilities, chronic illnesses, or post-acute medical needs. These services are authorized under Georgia’s Medicaid State Plan, certain HCBS waiver programs, and Medicare, ensuring individuals receive high-quality care at home, promoting health, safety, and independence.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH) — Healthcare Facility Regulation Division (HFRD)
Role: Licenses Home Health Agencies and monitors compliance with state and federal standards
Agency: Georgia Department of Community Health (DCH) — Medicaid Division
Role: Oversees Medicaid enrollment, service authorization, and reimbursement for Home Health Services
Agency: Centers for Medicare & Medicaid Services (CMS)**
Role: Provides federal oversight for Medicare- and Medicaid-certified Home Health Agencies, ensuring compliance with Conditions of Participation (CoPs)
2. HOME HEALTH SERVICE OVERVIEW
Home Health Services include skilled medical and rehabilitative care provided on an intermittent basis to individuals who are homebound or require clinical support at home.
Approved providers may deliver:
Skilled Nursing (e.g., medication management, wound care, IV therapy, chronic disease management)
Physical Therapy (PT) services (e.g., mobility training, strength building)
Occupational Therapy (OT) services (e.g., ADL skill training, adaptive techniques)
Speech-Language Pathology services (e.g., communication support, swallowing therapy)
Medical Social Worker services (e.g., psychosocial assessments, resource referrals)
Certified Home Health Aide services (e.g., personal care, basic health monitoring under nurse supervision)
Services must be prescribed by a physician, documented in a comprehensive care plan, and periodically reviewed for medical necessity and participant progress.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain Home Health Agency License through DCH’s Healthcare Facility Regulation Division (HFRD)
Complete Medicare certification (optional but required for dual Medicare/Medicaid billing)
Maintain general liability, professional liability, and workers’ compensation insurance
Employ qualified clinical staff including RNs, PTs, OTs, SLPs, and HHAs
Develop clinical policies and procedures compliant with Medicare Conditions of Participation and Georgia regulations
4. DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit application for Home Health Agency License to HFRD
Prepare for a Pre-Licensure Survey including policies, facility readiness, and staff credentialing
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, licensure application materials, operational policies, and clinical protocols
Provide documentation of quality assurance programs, infection control plans, and emergency preparedness systems
Licensure Survey and Certification:
Undergo HFRD licensure inspection
Undergo CMS Certification Survey if seeking Medicare participation
Medicaid Enrollment:
Upon licensing and (if applicable) Medicare certification, complete Medicaid enrollment through the Georgia Medicaid Management Information System (GAMMIS)
Configure billing codes for Home Health Services under Medicaid and Medicare
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Home Health Agency License (DCH HFRD)
Medicare Certification (optional but recommended)
Proof of insurance coverage
DCH and CMS-Compliant Policy & Procedure Manual including:
Participant intake, physician order, and care planning protocols
Skilled nursing, therapy services, and home health aide service delivery procedures
Medication management and infection control procedures
Emergency preparedness, evacuation, and continuity of care plans
HIPAA confidentiality, participant rights, and grievance handling policies
Staff credentialing, background checks, and competency verification
Quality Assurance and Performance Improvement (QAPI) program
Medicaid billing, service authorization tracking, and audit readiness systems
6. STAFFING REQUIREMENTS
Role: Administrator / Director of Nursing (DON)
Requirements: Active Georgia RN license; experience managing home health or healthcare operations; background screening clearance
Role: Registered Nurses (RNs) and Licensed Practical Nurses (LPNs)
Requirements: Active Georgia licensure; CPR certification; home health experience preferred
Role: Physical Therapists (PTs) / Occupational Therapists (OTs) / Speech-Language Pathologists (SLPs)
Requirements: Georgia professional licensure in respective discipline; background screening clearance
Role: Certified Home Health Aides (HHAs)
Requirements: Completion of a state-approved Home Health Aide program; background screening clearance
All staff must complete:
HIPAA confidentiality, participant rights, and abuse prevention training
Emergency response and infection control training
Annual competency assessments and continuing education
Specialized home health documentation and care plan compliance training
7. MEDICAID PROGRAMS
Home Health Services in Georgia are covered under:
Medicaid State Plan (for individuals meeting homebound and skilled need criteria)
Elderly and Disabled Waiver Program (EDWP) (for personal support extensions)
Georgia Pediatric Program (GAPP) (for medically fragile children)
Approved providers may deliver:
Skilled Nursing Visits
Therapy Visits (PT, OT, ST)
Medical Social Work Visits
Home Health Aide Services under RN supervision
8. TIMELINE TO LAUNCH
Phase: Business Formation and Initial Licensing Application
Timeline: 1–2 months
Phase: Facility Setup, Staff Hiring, and Pre-Licensure Survey
Timeline: 3–6 months
Phase: CMS Certification (if applicable) and Medicaid Enrollment
Timeline: 3–6 months (can overlap with licensing phase)
Phase: Medicaid Billing System Setup and Program Launch
Timeline: 1–2 months
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH) — Healthcare Facility Regulation Division (HFRD)
Website: https://dch.georgia.gov/divisionsoffices/hfrd
Georgia Department of Community Health (DCH) — Medicaid Division
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA HOME HEALTH SERVICES PROVIDER
WCG supports healthcare agencies, clinical organizations, and entrepreneurs in launching Medicaid- and Medicare-compliant Home Health Services under Georgia’s State Plan and HCBS programs.
Scope of Work:
Business registration and EIN/NPI setup
Home Health Agency licensing and Medicare/Medicaid certification assistance
Development of Home Health Services Policy & Procedure Manual
Staff credentialing templates and participant intake documentation
Medicaid billing system configuration and claims management
Website, domain, and email setup
Care planning, skilled nursing documentation, and therapy service tracking templates
Emergency preparedness, infection control, and QAPI program development
Quality assurance systems for compliance monitoring
Community networking and referral building strategies
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Meal & Nutrition
MEAL AND NUTRITION SERVICES PROVIDER IN GEORGIA
SUPPORTING HEALTH, WELLNESS, AND INDEPENDENT LIVING THROUGH NUTRITIONAL MEAL DELIVERY AND COUNSELING
Meal and Nutrition Services in Georgia help individuals with disabilities, chronic conditions, and aging-related needs maintain proper nutrition and health. These services are authorized under Georgia’s Medicaid Home and Community-Based Services (HCBS) waiver programs, promoting better health outcomes, supporting independent living, and preventing hospitalizations due to malnutrition or related issues.
1. GOVERNING AGENCIES
Agency: Georgia Department of Community Health (DCH)
Role: Oversees Medicaid provider enrollment, service authorization, and reimbursement for Meal and Nutrition Services
Agency: Georgia Department of Human Services – Division of Aging Services (DHS/DAS)
Role: Administers some state-funded senior nutrition programs and coordinates community meal delivery
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring nutrition services meet Medicaid HCBS standards and person-centered service requirements
2. MEAL AND NUTRITION SERVICE OVERVIEW
Meal and Nutrition Services provide access to prepared meals and nutrition education to participants who are unable to shop for, prepare, or safely handle meals themselves.
Approved providers may deliver:
Home-delivered meals (hot, cold, frozen, or shelf-stable)
Special diet meals (e.g., low sodium, diabetic-friendly, renal-friendly diets)
Nutritional counseling and dietary education (when authorized)
Meal planning assistance based on medical needs and cultural preferences
Emergency meals in case of service interruptions
Coordination with care managers for ongoing nutritional monitoring
Meals must meet USDA Dietary Guidelines and support participants’ individualized service plans (ISPs).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Georgia Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Secure a Food Service Establishment License through the Georgia Department of Public Health (DPH) or local health department
Maintain general liability insurance and food handler certifications
Develop policies for food safety, meal preparation, delivery operations, and emergency response
Comply with all USDA and Georgia Department of Public Health food service and sanitation regulations
4. DCH PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Request Meal and Nutrition Services provider application materials from DCH
Attend Medicaid provider orientation sessions (recommended)
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance documentation, and Food Service Establishment License
Provide sample menus, meal preparation policies, dietary guidelines adherence plans, and delivery tracking systems
Submit staff background screening and food safety training documentation
Program Readiness Review:
DCH reviews meal service readiness, compliance with nutritional guidelines, delivery verification processes, and Medicaid documentation systems
Approval & Medicaid Enrollment:
Upon approval, complete Medicaid enrollment through the Georgia Medicaid Management Information System (GAMMIS)
Set up billing codes for Home-Delivered Meals and/or Nutrition Counseling Services (where applicable)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Georgia Secretary of State)
IRS EIN confirmation
NPI confirmation
Food Service Establishment License (DPH or local health authority)
Proof of general liability insurance
DCH-Compliant Policy & Procedure Manual including:
Participant intake, dietary needs assessment, and nutritional goal planning
Menu development based on USDA and medically necessary standards
Meal preparation, packaging, delivery, and emergency backup procedures
Client rights, HIPAA confidentiality, and grievance resolution policies
Staff credentialing, food handler certifications, and background screening records
Medicaid billing, service documentation, and authorization tracking
6. STAFFING REQUIREMENTS
Role: Meal Services Program Manager / Nutrition Coordinator
Requirements: Degree or training in nutrition, public health, food service management, or a related field preferred; background screening clearance
Role: Cooks / Meal Preparers
Requirements: Food handler certification required; experience in safe meal preparation and sanitation practices; background screening clearance
Role: Delivery Drivers
Requirements: Valid driver’s license; food safety and delivery procedure training; background screening clearance
All staff must complete:
Food safety and sanitation training (ServSafe or equivalent recommended)
HIPAA confidentiality and client rights training
Emergency delivery procedures and infection control training
Annual refresher training on food handling, health standards, and documentation compliance
7. MEDICAID WAIVER SERVICES
The following Georgia Medicaid Waivers authorize Meal and Nutrition Services:
Comprehensive Supports Waiver Program (COMP)
New Options Waiver Program (NOW)
Independent Care Waiver Program (ICWP) (where authorized for nutritional supports)
Approved providers may deliver:
Regular meal deliveries tailored to participant needs
Special dietary meal plans to support health management
Nutritional counseling (if specifically authorized and credentialed)
8. TIMELINE TO LAUNCH
Phase: Business Formation and Food Service Licensing Setup
Timeline: 1–2 weeks
Phase: DCH Provider Application and Readiness Review
Timeline: 60–90 days
Phase: Staff Hiring, Menu Development, and Food Safety Training
Timeline: 30–45 days
Phase: Medicaid Enrollment and Billing System Setup
Timeline: 45–60 days
9. CONTACT INFORMATION
Georgia Department of Community Health (DCH)
Website: https://dch.georgia.gov/
Georgia Medicaid Management Information System (GAMMIS)
Website: https://www.mmis.georgia.gov/
Georgia Department of Public Health (DPH)
Website: https://dph.georgia.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — GEORGIA MEAL AND NUTRITION SERVICES PROVIDER
WCG supports providers and entrepreneurs in launching Medicaid-compliant Meal and Nutrition Services under Georgia’s HCBS waiver programs.
Scope of Work:
Business registration and EIN/NPI setup
Food Service Establishment Licensing and Medicaid provider enrollment support
Development of Meal and Nutrition Services Policy & Procedure Manual
Staff credentialing templates and participant dietary assessment forms
Medicaid billing setup and claims management
Website, domain, and email setup
Participant intake, dietary planning, and service tracking templates
Emergency meal delivery planning and incident reporting systems
Quality assurance programs for meal service monitoring and participant satisfaction
Community networking and healthcare referral partnerships
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.