What is a plan of care and who writes it?
A plan of care lists the services a client is approved to receive, how often, and for what goals. In Georgia waiver programs, the care coordinator authorizes the care plan and the agency delivers services as ordered. Your agency also keeps a service plan in the client file. Follow it exactly.
The plan of care is the map for the case. It says what care is allowed and how much.
In Georgia’s CCSP and SOURCE manual:
- The care coordinator helps assess, plan, authorize and arrange services.
- Agencies must deliver services as ordered on the care plan the care coordinator authorized.
- Failing to provide services as the care plan requires, including nursing supervision, can lead to suspended referrals or other adverse action.
Your own agency also keeps a service agreement and service plan in the client file, as Georgia’s private home care rule requires.
What this means day to day:
- Caregivers do the tasks on the plan.
- They do not add tasks that need a different level of license.
- Notes match the plan.
- If the client needs something different, you call the care coordinator before the visit, not after.
A plan that is old, unsigned, or does not match visits is a common audit finding. Put the review date on your calendar.
Sources
- EDWP: CCSP and SOURCE General Services manual (Q3 July 2026) · Georgia DCH / GAMMIS
- Ga. Comp. R. & Regs. 111-8-65-.09 Administration and Organization (private home care providers) · Georgia Department of Community Health rules (via Cornell LII)
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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