Georgia's EVV infrastructure is built around one required aggregator, one billing system, and an Open model that gives agencies limited flexibility in how they capture visit data at the point of care — but no flexibility in where that data must go.
Georgia requires EVV through Netsmart — formerly Tellus — and all visit data must clear GAMMIS before a claim will process. Every personal care and home health visit in the Georgia Medicaid system runs through this chain. Here's how it works, where exceptions happen, and what unresolved exceptions cost your agency each month.
Georgia's EVV infrastructure is built around one required aggregator, one billing system, and an Open model that gives agencies limited flexibility in how they capture visit data at the point of care — but no flexibility in where that data must go.
Georgia's state-required EVV aggregator. Netsmart replaced Tellus as the platform name — the underlying requirement and submission pathway are the same. All Medicaid home care agencies in Georgia must route EVV data through Netsmart. Under Georgia's Open EVV model, Netsmart is the required aggregator regardless of what system captures visit data in the field.
The Georgia Medicaid Management Information System handles provider enrollment, authorization tracking, claims submission, and payment. Netsmart EVV records must match and clear GAMMIS before a claim will process. A visit delivered without a corresponding clean Netsmart record in GAMMIS is an unbillable visit, regardless of whether care was provided or documented.
Georgia's Open model requires Netsmart aggregation but permits compatible third-party capture tools at the point of care — provided that data flows to Netsmart in the required format. This differs from a State Mandated model, where agencies must use the state system for both capture and aggregation. The Netsmart aggregation requirement has no exceptions under Georgia's model.
Every billable Georgia Medicaid home care visit follows the same four-step path. A break at any step produces an exception that delays or permanently blocks payment.
Caregiver clocks in and out at the client's location. GPS coordinates, time, and caregiver identity are captured through Netsmart or a compatible third-party tool that feeds Netsmart.
Visit data validates against the client's active prior authorization in GAMMIS, the caregiver's credentials, and the service code. Exceptions surface in the Netsmart portal for resolution.
Your agency reviews and corrects exceptions — GPS drift, missed clock-ins, credential mismatches — before the GAMMIS billing window closes. Unresolved exceptions remain unbilled.
Clean Netsmart records transmit to GAMMIS. The claim processes against the active authorization and payment issues within the standard cycle.
Georgia's EVV mandate covers personal care services and home health services delivered under Medicaid. Both service types require point-of-care verification with specific data elements captured at every visit.
The Community Care Services Program (CCSP) and SOURCE (Service Options Using Resources in a Community Environment) waiver are Georgia's primary HCBS programs for personal care services. Both require EVV for all in-home visits. CCSP and SOURCE providers must also credential separately through DBHDD — GAMMIS enrollment alone does not authorize waiver service delivery. A caregiver enrolled in GAMMIS but not credentialed for the specific waiver cannot provide those services.
Non-waiver Georgia Medicaid personal care services operate under the State Plan PCS benefit, separate from CCSP and SOURCE. Home health services — skilled nursing, therapy, and home health aide visits — are required to have EVV under the 21st Century Cures Act mandate. All qualifying service types route through GAMMIS with a Netsmart EVV record required before claim processing.
The distinction that catches Georgia agencies: A caregiver who successfully clocks in and out through Netsmart has created an EVV record. But if that caregiver's credentials aren't current in GAMMIS, or if the visit falls outside the active authorization window, the EVV record won't match — and the claim won't process. Clean Netsmart data is necessary. It isn't sufficient on its own.
Each unresolved Netsmart exception is a visit that was delivered, verified at the point of care, and still not paid. At 30 patients, a modest exception rate produces a consistent monthly revenue leak. The leak compounds as volume grows if exception management doesn't scale with it.
Estimated monthly revenue loss from Netsmart exceptions, lapsed caregiver credentials in GAMMIS, and documentation gaps that block claim submission at 30 active patients.
The exception rate stays consistent. The dollar impact triples as your Georgia agency grows and Netsmart exception management doesn't scale proportionally with visit volume.
Compliance drain is one of three revenue loss vectors. Authorization drain and claims drain account for the remaining ~$3,500 per month at 30 patients. Most Georgia agencies lose across all three simultaneously.
The CareDrain Diagnostic takes 8 questions and gives you a dollar-quantified estimate of what your Georgia agency is losing across all three vectors — authorization, claims, and compliance. It's free, and the detailed PDF profile is yours to keep without a sales call.
Run the CareDrain Diagnostic →Georgia Medicaid requires Electronic Visit Verification through Netsmart — formerly known as Tellus. All EVV data for Medicaid-billed home care visits must be submitted through Netsmart, and those records must clear through GAMMIS before claims will process. Netsmart is the required aggregator under Georgia's Open EVV model.
GAMMIS — the Georgia Medicaid Management Information System — is the state's centralized platform for Medicaid claims, provider enrollment, and compliance data. EVV records for all personal care and home health services must flow through GAMMIS via Netsmart. A claim without a matching, clean Netsmart record will not process through GAMMIS. GAMMIS is where authorization verification, claims submission, and payment all happen. Netsmart is the EVV gateway into it.
Georgia's Open model means agencies are required to use Netsmart as the EVV aggregator, but compatible third-party capture tools are permitted for collecting visit data at the point of care — provided that data flows to Netsmart in the required format. This differs from a State Mandated model, where agencies must use the state system for both capture and aggregation. Under Georgia's model, the Netsmart aggregation requirement has no exceptions.
Common Georgia exceptions include: GPS location outside the approved service address; visit time not captured through Netsmart at the point of care; caregiver not enrolled or credentialed in GAMMIS; visit outside the active prior authorization window; service code mismatch between the Netsmart record and the GAMMIS claim; and duplicate visit records. Unresolved exceptions prevent GAMMIS claim submission even when care was delivered.
Georgia requires EVV for all Medicaid-funded personal care services and home health services. This includes CCSP waiver, SOURCE waiver, and non-waiver State Plan Personal Care Services. CCSP and SOURCE providers require separate DBHDD credentialing in addition to standard GAMMIS enrollment — GAMMIS enrollment alone does not authorize waiver service delivery.
No. Netsmart is state-mandated — Georgia requires it regardless of what operational platform an agency uses. CareBravo integrates with Netsmart, managing EVV exception resolution, caregiver credential tracking in GAMMIS, and billing submission tracking as part of its delivered operational work. Your team doesn't monitor Netsmart exception queues — CareBravo works those exceptions before the GAMMIS billing window closes.
Netsmart exceptions are one part of the picture. Most Georgia agencies lose significantly more to authorization drain — unused CCSP or SOURCE waiver hours, reauthorization gaps — than to EVV exceptions alone. The CareDrain Diagnostic quantifies all three vectors for your agency before you decide how to address them.