Serve Georgia waiver participants with software that speaks GAMMIS, handles DCH and DBHDD documentation, and keeps ICWP, NOW, COMP, SOURCE, and CCSP visit notes audit-ready.
One Care Portal speaks Georgia Medicaid.
Georgia Medicaid Management Information System. We generate 837P claims that meet GAMMIS requirements and route through approved submission channels.
Georgia's Department of Community Health administers ICWP, SOURCE, and CCSP; DBHDD administers NOW and COMP. We align with each agency's documentation rules.
Georgia Medical Care Foundation reviews prior authorizations for ICWP and other waivers. We track PA status and flag expirations before they block billing.
We support Georgia's HCBS waiver programs.
Independent Care Waiver Program for adults 21–64 with severe physical disabilities or traumatic brain injuries.
New Options Waiver for individuals with developmental disabilities living in the community.
Comprehensive Supports Waiver Program for individuals with developmental disabilities needing more intensive supports.
Service Options Using Resources in a Community Environment — home-based care for frail elderly and disabled participants.
Community Care Services Program providing in-home and community supports to keep participants out of institutions.
Person-centered service plans that meet DCH and DBHDD requirements for ICWP, NOW, COMP, SOURCE, and CCSP.
Keep monthly, quarterly, and annual case management visits on schedule. Alerts fire before a visit becomes overdue.
Generate claims with Georgia-specific procedure codes, modifiers, and billing rules. Pre-validate before submission.
Verify Georgia Medicaid eligibility and track GMCF prior authorization status per participant.
Note templates configured for each Georgia waiver — capture required elements for billing and audits.
Generate reports that match DCH audit requirements. Export data for provider renewals and QA reviews.
We generate GAMMIS-compliant 837P files that can be submitted through the GAMMIS web portal or your preferred clearinghouse. Claims are formatted to meet Georgia's procedure code and modifier requirements.
We support ICWP (Independent Care Waiver Program), NOW (New Options Waiver), COMP (Comprehensive Supports Waiver Program), SOURCE, and CCSP. Each is configured with GA-specific documentation requirements.
Yes. We track Georgia Medical Care Foundation prior authorizations per participant, with expiration alerts so case managers renew before services are disrupted.
Yes. We support billing to Georgia's Medicaid MCOs including CareSource, Amerigroup, Peach State Health Plan, and WellCare with appropriate routing and plan-specific requirements.
Join Georgia providers using One Care Portal for HCBS case management and GAMMIS billing.