Do clients and caregivers have to sign every visit? Are electronic signatures okay?
Georgia’s EVV system captures client sign-off, with reason codes when a client cannot sign. For clinical notes, Georgia’s rule asks for signed and dated notes for nursing clients. The CCSP and SOURCE manual allows electronic signatures only with secure access controls. Check the exact wording for your program.
Signatures prove who did what and when. The rules differ by record type.
What we found:
- In Georgia’s EVV system, if a client cannot sign, the system gives reason codes so the visit can still be submitted.
- Georgia’s private home care rule says clinical or progress notes for nursing clients must be signed and dated.
- The CCSP and SOURCE manual allows electronic or computer-generated signatures only if access codes protect them. The text we read was cut short, so read the full section.
Good habits:
- Sign and date at the time of the visit, not weeks later.
- Use your system’s secure log-in, not a shared password.
- Don’t sign for someone else.
- If a client can’t sign, record the reason and who was present.
- Late entries must say they are late, with the date and time you wrote them.
A nurse should sign every clinical field herself. Ask your program manager what counts as a valid signature for each form.
How CareBravo® helps
The nurse signs every clinical field; nothing is signed for her.
Sources
- Electronic Visit Verification (EVV): Provider-related FAQs · Georgia DCH
- Ga. Comp. R. & Regs. 111-8-65-.09 Administration and Organization (private home care providers) · Georgia Department of Community Health rules (via Cornell LII)
- EDWP: CCSP and SOURCE General Services manual (Q3 July 2026) · Georgia DCH / GAMMIS
Reviewed by Beth Bledsoe, Care Business Advisor®, 28 Oct 2026. Rules change. Confirm with your state Medicaid agency before you act.
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