Georgia NOW & COMP Waiver Guide

02/18/2026

Georgia NOW & COMP Waivers: What Families Need to Know

If you are trying to access the NOW or COMP Medicaid Waiver in Georgia, everything starts with DBHDD and your regional office. These waivers support individuals with developmental disabilities and can allow family caregivers to be paid under certain conditions.

02/18/2026

How to get paid as a caregiver in Georgia

If you’re caring for a loved one in Georgia  bathing them, cooking meals, handling medications, helping with mobility and daily needs  you’re doing work that matters. And the good news is: there are ways for caregivers to get paid for that care here in Georgia.

02/15/2026

How Georgia GAPP Services Transition Into Adult Services
What Families Need to Do Before Age 21

If your child receives GAPP services in Georgia, there is a moment that catches a lot of families off guard the transition into adult services. I’m sharing this as a parent and caregiver, not as an agency or a professional office, because this is one of those topics that most of us end up learning the hard way.

02/15/2026

Georgia NOW/COMP Waivers Overview
Disclaimer
This guide is informational and based on publicly available Georgia Medicaid/DBHDD resources. It is not legal advice. Program rules can change. Always confirm current requirements with your DBHDD Regional Field Office, your Support Coordinator, and your Financial Support Services (FSS) provider.

02/06/2026

How Georgia GAPP Services Transition Into Adult Services

What Families Need to Do Before Age 21
If your child receives Georgia Pediatric Program (GAPP) services, one of the biggest milestones you will face is the transition into adult Medicaid programs. This is something many families don’t fully understand until they are already close to the deadline, so I want to share this from a parent and caregiver perspective plain, honest, and based on what families actually experience.
GAPP is a pediatric in-home nursing program for medically fragile children under age 20 years and 11 months. That part matters, because once your child approaches their 21st birthday, GAPP ends. There is no automatic rollover. There is no single letter that tells you exactly where your child will go next.
Planning ahead truly makes all the difference.

The first thing families need to understand
There is no one adult program that every child automatically transitions into after GAPP.
What comes next depends on:
• Why your child qualified for GAPP in the first place
• Whether their needs are mainly medical or physical, functional, or intellectual/developmental
• What level of care they will need as an adult
Many families assume there is a “GAPP for adults.” There isn’t. Instead, families move into adult Medicaid waiver programs, and choosing the right one is critical.

The adult waiver many medically fragile youth transition to
For many medically fragile young adults aging out of GAPP, the most common next step is the:
Independent Care Waiver Program (ICWP)
ICWP is a Georgia Medicaid waiver for adults ages 21–64 who:
• Have severe physical disabilities or traumatic brain injury
• Meet institutional level-of-care criteria
• Need services to remain safely in the community instead of a facility
If your child relied heavily on nursing-level care under GAPP, ICWP is often the closest match in adulthood.

Other adult pathways families may need to consider
Depending on your child’s needs, another adult program may be more appropriate.
Elderly and Disabled Waiver Program (EDWP)
This includes CCSP and SOURCE. These programs serve adults with disabilities who need nursing-facility level support but can safely live in the community with services.
NOW/COMP Waivers (through DBHDD)
If your child’s primary needs are related to intellectual or developmental disabilities, the adult system shifts to DBHDD. Entry starts with your DBHDD Regional Field Office, not Medicaid directly.
Some young adults have overlapping needs. When that happens, families often pursue the best-fit waiver first while also confirming whether NOW/COMP planning list steps apply.

Step-by-step: How to transition from GAPP to adult services
Step 1: Start early
Plan to begin 6–12 months before your child turns 21.
Adult waiver programs involve applications, screenings, paperwork, and sometimes waitlists. Starting late increases the risk of a gap in care once GAPP ends.

Step 2: Confirm Medicaid eligibility for adulthood
GAPP is Medicaid-based, so Medicaid eligibility is the foundation for everything that comes next.
Eligibility is handled through DFCS, and adulthood can mean a change in category. Do not assume your child’s Medicaid will automatically continue the same way—confirm it.

Step 3: Identify the correct adult “track”
A simple way many families think about it:
• Medical fragility or severe physical disability → ICWP
• Functional disability or long-term care needs → EDWP (CCSP or SOURCE)
• Intellectual or developmental disability → NOW/COMP through DBHDD
If you’re unsure, you’re not alone. Many families ask questions in more than one system before landing in the right place.

Step 4: Apply to the adult program
ICWP (ages 21–64)
Applications go through Alliant Georgia Medical Care Foundation.
Common phone numbers families use:
• 800-982-0411
• 888-669-7195
You can also call the Georgia Call Center at 1-800-GEORGIA (1-800-436-7442) for guidance.
EDWP (CCSP / SOURCE)
Accessed through the Area Agency on Aging:
• EDWP application line: 866-552-4464
• SOURCE application line: 888-669-7195
NOW/COMP Waivers (DBHDD)
Start with your DBHDD Regional Field Office.
Example for Metro Atlanta (Region 3):
3073 Panthersville Rd., Building 10
Decatur, GA 30034
404-244-5050 or 404-244-5056

Step 5: Build a transition packet
Having everything in one place saves time and stress. Most families gather:
• Current diagnoses and care summary
• Physician orders and plan of care
• Recent hospitalizations or specialist notes
• Medication list
• Proof of Medicaid eligibility
• A written snapshot of daily care needs (hours, overnight care, equipment, safety concerns)
This packet becomes your go to reference when speaking with agencies, intake staff, and case managers.

Step 6: Use GAPP as a resource before services end
Before your child ages out, reach out to the GAPP Program Specialist:
• Phone: 404-683-5113
• Email: [email protected]
Ask:
• Where your child is in the GAPP timeline
• What documentation should be carried forward
• What adult programs families in similar situations typically pursue

A practical transition timeline
• 12 months out: Identify adult programs and start gathering records
• 9–6 months out: Submit applications and complete screenings
• 3–2 months out: Follow up regularly and get updates in writing
• Final 30–60 days: Confirm how care will be covered once GAPP ends and what backup plans are in place

Final reminder from one caregiver to another
Aging out of GAPP can feel stressful and overwhelming. It’s emotional, complicated, and often happens while families are already stretched thin.
But with the right information, early action, and steady follow-up, this transition is manageable.
You don’t have to do everything at once just don’t wait until the last minute.
If you’re reading this early, you’re already doing the right thing.

02/06/2026

Welcome to All New Followers
I want to personally welcome you to this page. This space was created for caregivers, parents, advocates, and families navigating Georgia’s NOW/COMP Medicaid Waivers and related support systems.
This page exists for one simple reason: to make confusing information clear.
Too many families are overwhelmed, delayed, or discouraged because the process is not explained in plain language. Here, we break things down step-by-step, share real guidance, and help each other understand what to expect without judgment and without pressure.
This is a community, not just an information page.
No question is too small
No experience is insignificant
No shared tip is “not helpful enough”
Every comment, every shared post, and every piece of information helps another family move one step closer to clarity and support.
You don’t have to know everything to be part of this space. Whether you’re just starting, already on the planning list, approved, waiting, or supporting someone else you belong here.
Thank you for being here. Thank you for learning, sharing, and helping spread information that families truly need.
Together, we make the process easier one conversation at a time.

02/06/2026

Georgia NOW/COMP Waivers: A Complete, Easy-to-Understand Guide for Families and Caregivers

A Caregiver & Parent Commitment to Clarity

As a caregiver and parent, I am committed to sharing clear, step-by-step information about Georgia’s NOW and COMP Waivers. Families should not feel confused, overwhelmed, or left in the dark while trying to access services. This guide explains the process in plain language so families can apply correctly, avoid delays, and understand what happens at each stage.



What Are the Georgia NOW and COMP Waivers?

Georgia’s NOW (New Options Waiver) and COMP (Comprehensive Supports Waiver) are Medicaid waiver programs for individuals with intellectual and developmental disabilities (I/DD) who require a level of care similar to an intermediate care facility but can safely receive services in the community.

These waivers are overseen by the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD).

Difference Between the NOW Waiver and COMP Waiver

NOW Waiver:
Supports individuals living in their own home or family home and has a lower funding cap.
COMP Waiver:
Designed for individuals with more intensive needs, including those requiring residential level or higher-intensity supports.


Georgia NOW/COMP Planning List Explained

Georgia maintains two separate planning lists one for the NOW Waiver and one for the COMP Waiver.

Important Planning List Facts Families Need to Know

Being on the planning list does not mean you have a waiver slot
It means your request is officially documented
Families wait for prioritization and funding availability
Many delays happen because families believe placement equals approval. It does not.



How to Apply for the Georgia NOW or COMP Waiver

Applications are submitted through DBHDD’s designated process using the Georgia Collaborative A*O and the Individual IDD Connects portal.

Georgia NOW/COMP Waiver Application Checklist

Start the I/DD application in the IDD Connects portal
Enter accurate personal and demographic information
Clearly explain diagnoses, disability history, and daily support needs
Submit requested documents quickly to avoid application delays


Georgia NOW/COMP Eligibility Requirements

Approval is not based on diagnosis alone.

What DBHDD Reviews for Eligibility

Intellectual or developmental disability criteria
Level of Care determination (similar to intermediate care facilities)
Medicaid eligibility (financial and coverage requirements)


What Is Support Coordination in the NOW/COMP Waivers?

Support Coordination is a required service under both waivers.

Role of a Support Coordinator

Coordinates services and providers
Helps develop and update the Individual Service Plan (ISP)
Acts as a point of contact between families and the system
Caregiver reminder: Stay involved. Follow up. Keep copies of everything.



Individual Service Plan (ISP): The Foundation of Waiver Services

The ISP determines what services are approved and funded.

What the ISP Includes

Personal goals
Support needs
Approved services
Staffing model (traditional or self-directed)
Budgets and service authorizations
Caregiver Tip:
If a need is not clearly written in the ISP, it is harder to get approved and harder to fix later.



Participant Direction in Georgia NOW/COMP Waivers (Self-Directed Services)

Participant Direction allows families more control over services.

Requirements for Participant Direction

Individual must have an approved NOW or COMP Waiver
Must live in their own or family home
Must select a Financial Support Services (FSS) provider
Self-direction must be included in the ISP and budget
What Participant Direction Really Means

Families take on employer-type responsibilities:

Hiring and scheduling caregivers
Approving timesheets
Managing day-to-day care
The fiscal agent (FSS provider) handles payroll, taxes, and compliance.



Common Georgia NOW/COMP Waiver Mistakes and Delays

“I applied—why is nothing happening?”

The process has stages:
Application → Planning List → Prioritization → Assessments → ISP → Services Begin

“NOW or COMP—which waiver should I choose?”

NOW: lower funding, community-based support
COMP: higher funding, more intensive or residential supports
“Can a family caregiver get paid?”

Yes, often through Participant Direction, but it must be properly written into the ISP and follow program rules.



Step-by-Step Georgia NOW/COMP Waiver Roadmap

Apply through IDD Connects
Confirm application receipt
Verify planning list placement
Respond promptly to document requests
Work with Support Coordination on the ISP
Choose Traditional or Participant Direction
Select an FSS provider if self-directing
Confirm service authorizations and start dates
If you are navigating the Georgia NOW/COMP Waiver system, you are not alone. This process is complex, paperwork heavy, and time sensitive. Asking questions is not a problem is necessary. My goal is to help families understand the process clearly so fewer people experience unnecessary delays or years of confusion.

02/06/2026

Understanding Georgia Medicaid Waiver Programs: GAPP, CCSP, SOURCE, and ICWP Levels 1 & 2

Georgia offers several Medicaid waiver programs designed to help individuals receive care in their homes and communities instead of institutions. Each program serves a different population, has different eligibility rules, and covers different services. Understanding which program fits your situation is critical before applying.

This post provides a clear overview of GAPP, CCSP, SOURCE, and ICWP (Levels 1 & 2) so families can better navigate their options.



1. GAPP – Georgia Pediatric Program

The Georgia Pediatric Program (GAPP) is a Medicaid waiver specifically for children under age 21 with severe medical needs.

Who GAPP Is For

Children under 21
Medically fragile or technology-dependent
Requires skilled nursing or intensive in-home care
Must meet hospital or nursing facility level of care
Services Covered

Skilled nursing (RN/LPN)
Personal care support
Care coordination
Some therapies (depending on medical necessity)
Key Notes

GAPP is medical-based, not developmental-disability-based
Children may qualify even if parents’ work
Services are authorized through Medicaid and physicians


2. CCSP – Community Care Services Program

The Community Care Services Program (CCSP) helps elderly adults and individuals with disabilities remain safely in their homes instead of entering nursing facilities.

Who CCSP Is For

Adults age 65+
Adults with physical disabilities
Must meet nursing facility level of care
Limited income and assets (financial eligibility applies)
Services Covered

Personal support services
Adult day health services
Home-delivered meals
Emergency response systems
Care coordination
Key Notes

CCSP does not cover skilled nursing
Often paired with other Medicaid services
Waitlists may apply


3. SOURCE – Service Options Using Resources in a Community Environment

SOURCE is designed for older adults and individuals with disabilities who have both medical and long-term care needs.

Who SOURCE Is For

Adults age 65+
Adults with disabilities
Individuals with chronic medical conditions
Must meet nursing facility level of care
Services Covered

All CCSP-type services
Primary medical care coordination
Prescription management
Home health and case management
Integrated medical and support services
Key Notes

SOURCE combines medical care + home services
Often ideal for individuals with multiple diagnoses
Services are coordinated through a SOURCE provider network


4. ICWP – Independent Care Waiver Program (Levels 1 & 2)

The Independent Care Waiver Program (ICWP) supports adults with significant physical disabilities who want to live independently.

Who ICWP Is For

Adults ages 21–64
Severe physical disabilities
Must be capable of directing their own care (or have a representative)
Must meet nursing facility level of care
Level 1 vs. Level 2

Level 1: Fewer service hours, lower cost cap
Level 2: More intensive supports and higher service limits
Services Covered

Personal support services
Home modifications
Medical supplies
Care coordination
Key Notes

ICWP does not serve individuals with intellectual/developmental disabilities
Strong emphasis on independence and self-direction


Quick Comparison Snapshot

Program

Primary Population

Focus

GAPP

Children under 21

Medical & skilled nursing

CCSP

Seniors & adults with disabilities

Home-based support

SOURCE

Seniors & adults with chronic conditions

Medical + home care

ICWP

Adults with physical disabilities

Independent living



Georgia Medicaid waivers are not one size fits all. Choosing the correct program depends on:

Age
Type of disability or medical condition
Level of care needed
Ability to direct services
Financial eligibility
Applications and approvals are managed through Georgia Department of Community Health and its partner agencies, and many programs have waitlists. Getting accurate information early can save families months or even years of delays.

Caregiver Support
Family Caregivers
Special Needs Parents
Disability Resources
Aging In Place

02/02/2026

https://www.facebook.com/share/18JSrzoR9o/?mibextid=wwXIfr

If you are trying to access the NOW or COMP Medicaid Waiver in Georgia, everything starts with DBHDD and your regional office. These waivers support individuals with developmental disabilities and can allow family caregivers to be paid under certain conditions.

01/31/2026

What Are the NOW & COMP Waivers?

The NOW (New Options Waiver) and COMP (Comprehensive Supports Waiver) programs provide Medicaid-funded services to eligible individuals with developmental disabilities so they can live in their communities rather than institutions. Services may include personal support, community living support, respite, and more delivered either through a traditional agency or a participant-directed model.

Traditional (Agency-Directed) Services

Under the traditional model, a licensed provider agency manages service delivery from start to finish.

How it works
• DBHDD authorizes services in the Individual Service Plan (ISP)
• A provider agency assigns trained staff
• The agency handles hiring, scheduling, payroll, supervision, and compliance

Pros
• Minimal administrative responsibility for families
• Agency manages training, background checks, and supervision
• Structured support and backups if staff call out

Considerations
• Less flexibility in choosing staff
• Schedules and routines are agency-driven
• Family members typically cannot be paid caregivers

Best fit: Families who prefer a hands-off approach and want professional staff managed entirely by an agency.

Participant-Directed Services

Participant Direction allows the individual—or their chosen representative to manage services directly, with oversight and support.

How it works
• Services are approved by DBHDD in the ISP
• The participant selects a Fiscal Management Services (FMS) provider (also called a fiscal agent)
• The participant or representative hires, schedules, and supervises caregivers
• The fiscal agent handles payroll and tax reporting

Pros
• Greater control over who provides care
• Ability to hire trusted caregivers, including certain family members (with approval)
• Flexible schedules that align with real-life routines

Considerations
• More responsibility for hiring, training, and oversight
• Paid caregivers must meet compliance requirements (background checks, CPR/First Aid, TB test, separate contact information, etc.)
• The Participant-Directed Representative is not paid and must be a different person than the paid caregiver

Best fit: Families who want flexibility, consistency of care, and are comfortable managing details or have a reliable representative to do so.

Common Misunderstandings
• “Participant Direction means no rules.” Not true. DBHDD compliance still applies.
• “The representative gets paid.” Incorrect. Representatives are unpaid and separate from paid caregivers.
• “Traditional is always easier.” It can be but flexibility and fit matter just as much.

How to Choose the Right Model

Ask yourself:
1. Do we want control over who provides daily care?
2. Are we comfortable managing schedules and oversight?
3. Is there a trusted person who can serve as an unpaid representative?
4. Do we need flexibility due to work, school, or medical routines?

There is no universal “best” option only what works best for your household.

Final Takeaway

Both Participant-Directed and Traditional services under the NOW/COMP Waivers are valid, state-approved pathways. The right choice depends on your capacity, preferences, and support system. Understanding the differences early helps prevent delays, compliance issues, and unnecessary stress.

If you are new to the process, confirm details with your DBHDD Regional Office and Support Coordinator before making your selection.

Common Misunderstandings
• “Participant Direction means no rules.” Not true. DBHDD compliance still applies.
• “The representative gets paid.” Incorrect. Representatives are unpaid and separate from paid caregivers.
• “Traditional is always easier.” It can be but flexibility and fit matter just as much.

How to Choose the Right Model

Ask yourself:
1. Do we want control over who provides daily care?
2. Are we comfortable managing schedules and oversight?
3. Is there a trusted person who can serve as an unpaid representative?
4. Do we need flexibility due to work, school, or medical routines?

There is no universal “best” option only what works best for your household.

Final Takeaway

Both Participant-Directed and Traditional services under the NOW/COMP Waivers are valid, state-approved pathways. The right choice depends on your capacity, preferences, and support system. Understanding the differences early helps prevent delays, compliance issues, and unnecessary stress.

If you are new to the process, confirm details with your DBHDD Regional Office and Support Coordinator before making your selection.